Goddeyne, Michael Charles

Goddeyne, Michael Charles is an sole proprietor health care provider with primary practice located at 2900 W Oklahoma Ave , Milwaukee WI 53215-4330. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Goddeyne, Michael Charles can be contacted via phone (414) 489-4190.

Contact Information

Primary practice address
2900 W Oklahoma Ave Milwaukee WI 53215-4330
Phone: (414) 489-4190
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 5489-23 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5489 Wisconsin

Profile Details

NPI number 1518539907
LBN Legal business name Goddeyne, Michael Charles
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 14th, 2021
Last updated Nov 22nd, 2021 - about 4 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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