Goshert, Reba J

Goshert, Reba J is an individual health care provider with primary practice located at 2102 N Main St , Nappanee IN 46550-9310. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Goshert, Reba J can be contacted via phone (574) 862-2165.

Contact Information

Primary practice address
2102 N Main St Nappanee IN 46550-9310
Phone: (574) 862-2165
Fax: (574) 862-4112
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 71000002A Indiana

Profile Details

NPI number 1912103151
LBN Legal business name Goshert, Reba J
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2007
Last updated Apr 28th, 2023 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1912103151 NPPES
Indiana MEDICAID 200937920

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