Broxup, Shana Goetting

Broxup, Shana Goetting is an individual health care provider with primary practice located at 3230 Eagle Park Dr Ne Ste 100 , Grand Rapids MI 49525-7047. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Broxup, Shana Goetting can be contacted via phone (616) 988-2229.

Contact Information

Primary practice address
3230 Eagle Park Dr Ne Ste 100 Grand Rapids MI 49525-7047
Phone: (616) 988-2229
Fax: (616) 988-2010
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601010535TMP21 Michigan

Profile Details

NPI number 1326715202
LBN Legal business name Broxup, Shana Goetting
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 27th, 2021
Last updated Aug 27th, 2021 - 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.

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