Goettlicher, Casey
Goettlicher, Casey is an sole proprietor health care provider with primary practice located at 37595 7 Mile Rd #450, Livonia MI 48152-1003. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Goettlicher, Casey can be contacted via phone (734) 855-4474.Contact Information
Primary practice address
37595 7 Mile Rd #450
Livonia MI 48152-1003
Phone: (734) 855-4474
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 2901021989 | Michigan |
Profile Details
| NPI number | 1962854745 |
|---|---|
| LBN Legal business name | Goettlicher, Casey |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 6th, 2016 |
| Last updated | Feb 7th, 2017 - about 9 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 | 1962854745 | NPPES |
| Michigan | MEDICAID | 1962854745 |
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