Goltz, Peter Jason

Goltz, Peter Jason is an sole proprietor health care provider with primary practice located at 362 State Highway 83 , Defuniak Springs FL 32433-1733. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Goltz, Peter Jason can be contacted via phone (850) 892-8015.

Contact Information

Primary practice address
362 State Highway 83 Defuniak Springs FL 32433-1733
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DN18762 Florida

Profile Details

NPI number 1164718763
LBN Legal business name Goltz, Peter Jason
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 22nd, 2011
Last updated Jun 22nd, 2011 - about 14 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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