Goebel, Harold John

Goebel, Harold John is an individual health care provider with primary practice located at 4309 W Jefferson Blvd , Fort Wayne IN 46804-6819. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Goebel, Harold John can be contacted via phone (260) 436-3783.

Contact Information

Primary practice address
4309 W Jefferson Blvd Fort Wayne IN 46804-6819
Fax: (260) 432-2330
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 08001017A Indiana

Profile Details

NPI number 1942264007
LBN Legal business name Goebel, Harold John
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2006
Last updated Jul 8th, 2007 - about 19 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 1942264007 NPPES
Indiana Other 000000087061 BLUE CROSS AND BLUE SHIEL
Indiana Other 4351502 BLUE CROSS AND BLUE SHIEL

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