Goedecke, Eric

Goedecke, Eric is an individual health care provider with primary practice located at 701 Grove Rd Fl 1 , Greenville SC 29605-4210. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Goedecke, Eric can be contacted via phone (864) 455-7899.

Contact Information

Primary practice address
701 Grove Rd Fl 1 Greenville SC 29605-4210
Phone: (864) 455-7899
Fax: (864) 455-5474
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 221572 Massachusetts
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 90105 South Carolina

Profile Details

NPI number 1811964265
LBN Legal business name Goedecke, Eric
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 3rd, 2006
Last updated Aug 5th, 2025 - about last year

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 1811964265 NPPES
Massachusetts MEDICAID 2108615

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