Goedecke, Charles Michael

Goedecke, Charles Michael is an sole proprietor health care provider with primary practice located at 16100 Sh 288 , Pearland TX 77584. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Goedecke, Charles Michael can be contacted via phone (210) 445-9456.

Contact Information

Primary practice address
16100 Sh 288 Pearland TX 77584
Phone: (210) 445-9456
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X

Profile Details

NPI number 1306396759
LBN Legal business name Goedecke, Charles Michael
Credentials LSA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 10th, 2016
Last updated Oct 8th, 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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