Goebel, Diane S

Goebel, Diane S is an individual health care provider with primary practice located at 2350 W Horizon Ridge Pkwy , Henderson NV 89052-5075. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Goebel, Diane S can be contacted via phone (702) 564-8556.

Contact Information

Primary practice address
2350 W Horizon Ridge Pkwy Henderson NV 89052-5075
Phone: (702) 564-8556
Fax: (702) 564-4485
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 5529 Nevada

Profile Details

NPI number 1225030935
LBN Legal business name Goebel, Diane S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2005
Last updated Jun 17th, 2015 - about 11 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 1225030935 NPPES
Nevada MEDICAID 003102184
Nevada MEDICAID 002018184

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