Goentzel, Brian John
Goentzel, Brian John is an sole proprietor health care provider with primary practice located at 2450 N Woodlawn Blvd , Wichita KS 67220-3902. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Goentzel, Brian John can be contacted via phone (316) 500-1223.Contact Information
Primary practice address
2450 N Woodlawn Blvd
Wichita KS 67220-3902
Phone: (316) 500-1223
Fax: (800) 915-6113
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 04-39829 | Kansas |
Profile Details
| NPI number | 1194959692 |
|---|---|
| LBN Legal business name | Goentzel, Brian John |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 12th, 2009 |
| Last updated | May 12th, 2026 - about 5 months 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 | 1194959692 | NPPES |
| Kansas | MEDICAID | 201155750A |
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