Goshorn, Michael

Goshorn, Michael is an individual health care provider with primary practice located at 6609 W Greenfield Ave , West Allis WI 53214-4958. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Goshorn, Michael can be contacted via phone (414) 257-8500.

Contact Information

Primary practice address
6609 W Greenfield Ave West Allis WI 53214-4958
Phone: (414) 257-8500
Fax: (414) 257-8505
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 125-068084 Illinois
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 71165 Wisconsin

Profile Details

NPI number 1750737367
LBN Legal business name Goshorn, Michael
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2016
Last updated Jun 17th, 2025 - about last year

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 1750737367 NPPES
Wisconsin MEDICAID 100089112

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