Goll, Traci
Goll, Traci is an individual health care provider with primary practice located at 1410 6Th Ave S , Clear Lake IA 50428-2606. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Goll, Traci can be contacted via phone (641) 357-2191.Contact Information
Primary practice address
1410 6Th Ave S
Clear Lake IA 50428-2606
Phone: (641) 357-2191
Fax: (641) 357-6020
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | A157789 | Iowa |
Profile Details
| NPI number | 1164054755 |
|---|---|
| LBN Legal business name | Goll, Traci |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 11th, 2020 |
| Last updated | Apr 15th, 2022 - about 2 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.
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