Goedecke, Michael

Goedecke, Michael is an sole proprietor health care provider with primary practice located at 603 N Grand Ave , Tahlequah OK 74464-2302. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Goedecke, Michael can be contacted via phone (918) 444-3921.

Contact Information

Primary practice address
603 N Grand Ave Tahlequah OK 74464-2302
Phone: (918) 444-3921
Fax: (918) 444-3954
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 957 Oklahoma

Profile Details

NPI number 1962818914
LBN Legal business name Goedecke, Michael
Credentials MS ATC LAT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 9th, 2014
Last updated Apr 11th, 2017 - about 8 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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