Goetsch, Nicholas J

Goetsch, Nicholas J is an individual health care provider with primary practice located at 3421 W 9Th St , Waterloo IA 50702-5401. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Goetsch, Nicholas J can be contacted via phone (319) 272-8000.

Contact Information

Primary practice address
3421 W 9Th St Waterloo IA 50702-5401
Phone: (319) 272-8000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 3649 Iowa

Profile Details

NPI number 1740287614
LBN Legal business name Goetsch, Nicholas J
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2005
Last updated Sep 8th, 2016 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740287614 NPPES
Iowa MEDICAID 1740287614
Iowa Other P00469847
Iowa MEDICAID 0456830

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