Goetzke, Isaac Ian

Goetzke, Isaac Ian is an sole proprietor health care provider with primary practice located at 716 Stevens Ave , Portland ME 04103-2656. He recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as his primary health care specialty. Goetzke, Isaac Ian can be contacted via phone (207) 283-0171.

Contact Information

Primary practice address
716 Stevens Ave Portland ME 04103-2656
Phone: (207) 283-0171
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1801674692
LBN Legal business name Goetzke, Isaac Ian
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 21st, 2023
Last updated Sep 21st, 2023 - about 2 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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