Goff, Charles E.
Goff, Charles E. is an individual health care provider with primary practice located at 800 West Ave S , La Crosse WI 54601-8806. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Goff, Charles E. can be contacted via phone (608) 782-9760.Contact Information
Primary practice address
800 West Ave S
La Crosse WI 54601-8806
Phone: (608) 782-9760
Fax: (608) 775-4467
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 1223 | Wisconsin |
Profile Details
| NPI number | 1982609608 |
|---|---|
| LBN Legal business name | Goff, Charles E. |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 17th, 2005 |
| Last updated | Aug 15th, 2013 - about 12 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 | 1982609608 | NPPES |
| Wisconsin | MEDICAID | 42996300 |
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