Goehner, Carl
Goehner, Carl is an individual health care provider with primary practice located at 1177 Quail Ct Suite 200, Pewaukee WI 53072-3790. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Goehner, Carl can be contacted via phone (262) 695-3057.Contact Information
Primary practice address
1177 Quail Ct Suite 200
Pewaukee WI 53072-3790
Phone: (262) 695-3057
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 12051-24 | Wisconsin |
Profile Details
| NPI number | 1568726164 |
|---|---|
| LBN Legal business name | Goehner, Carl |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2012 |
| Last updated | Jun 17th, 2015 - about 10 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 | 1568726164 | NPPES |
| Wisconsin | MEDICAID | 123CGOEHNE |
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