Goeltz, William Bradley

Goeltz, William Bradley is an individual health care provider with primary practice located at 3203 Stein Blvd , Eau Claire WI 54701-6917. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Goeltz, William Bradley can be contacted via phone (715) 552-1342.

Contact Information

Primary practice address
3203 Stein Blvd Eau Claire WI 54701-6917
Phone: (715) 552-1342
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 2609-057 Wisconsin

Profile Details

NPI number 1629142104
LBN Legal business name Goeltz, William Bradley
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2006
Last updated Jul 9th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1629142104 NPPES
Minnesota Other 223E4GO BCBS OF MN
Minnesota Other 855751047520 BCBS OF MN
Minnesota MEDICAID 39151900 BCBS OF MN
Minnesota Other HP668411 BCBS OF MN

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