Goetz, James

Goetz, James is an sole proprietor health care provider with primary practice located at 1428 Deer Park Ave , N Babylon NY 11703-1611. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Goetz, James can be contacted via phone (631) 586-3388.

Contact Information

Primary practice address
1428 Deer Park Ave N Babylon NY 11703-1611
Phone: (631) 586-3388
Fax: (631) 586-3394
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X N004737 New York

Profile Details

NPI number 1861462269
LBN Legal business name Goetz, James
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 26th, 2006
Last updated Feb 19th, 2014 - about 12 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 1861462269 NPPES
New York MEDICAID 01236960

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