Goetzman, Beth A
Goetzman, Beth A is an individual health care provider with primary practice located at 2820 Roosevelt Road , Marinette WI 54143-3834. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Goetzman, Beth A can be contacted via phone (715) 735-5225.Contact Information
Primary practice address
2820 Roosevelt Road
Marinette WI 54143-3834
Phone: (715) 735-5225
Fax: (715) 735-5388
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 382033 | Wisconsin |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 382-33 | Wisconsin |
Profile Details
NPI number | 1265429690 |
---|---|
LBN Legal business name | Goetzman, Beth A |
Credentials | APNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 30th, 2005 |
Last updated | Sep 16th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1265429690 | NPPES |
Wisconsin | Other | 4825080008 | MEDICARE DME |
Wisconsin | MEDICAID | 43824100 | MEDICARE DME |
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