Goeransson, Carla Joyce
Goeransson, Carla Joyce is an individual health care provider with primary practice located at 641 W Willoughby Ave Suite 206, Juneau AK 99801-1731. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Goeransson, Carla Joyce can be contacted via phone (907) 586-5951.Contact Information
Primary practice address
641 W Willoughby Ave Suite 206
Juneau AK 99801-1731
Phone: (907) 586-5951
Fax: (907) 586-8017
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT 0169 | Alaska |
Profile Details
| NPI number | 1023154374 |
|---|---|
| LBN Legal business name | Goeransson, Carla Joyce |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 30th, 2007 |
| Last updated | Jul 9th, 2007 - about 19 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 | 1023154374 | NPPES |
| Alaska | MEDICAID | PT0169 |
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