Goedecke, Phillip Arthur
Goedecke, Phillip Arthur is an sole proprietor health care provider with primary practice located at 2851 Centre Ave Ste 4, Reading PA 19605-2567. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Goedecke, Phillip Arthur can be contacted via phone (610) 929-1115.Contact Information
Primary practice address
2851 Centre Ave Ste 4
Reading PA 19605-2567
Phone: (610) 929-1115
Fax: (610) 929-3548
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | DC003941L | Pennsylvania |
Profile Details
| NPI number | 1427049303 |
|---|---|
| LBN Legal business name | Goedecke, Phillip Arthur |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 31st, 2005 |
| Last updated | Oct 20th, 2011 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427049303 | NPPES |
| Other | 01963101 | BLUE CROSS | |
| Other | 1031982 | BLUE CROSS | |
| Other | BE1606382 | BLUE CROSS |
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