Goffard, Marsha Jane Smits

Goffard, Marsha Jane Smits is an individual health care provider with primary practice located at 2801 S Webster Ave , Green Bay WI 54301-2878. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Goffard, Marsha Jane Smits can be contacted via phone (920) 337-1122.

Contact Information

Primary practice address
2801 S Webster Ave Green Bay WI 54301-2878
Phone: (920) 337-1122
Fax: (920) 337-1126
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 1530-026 Wisconsin

Profile Details

NPI number 1255536124
LBN Legal business name Goffard, Marsha Jane Smits
Credentials Registered Occupational Therapist (OTR)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2007
Last updated Mar 23rd, 2022 - about 4 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 1255536124 NPPES
Wisconsin MEDICAID 4181-0300

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