Liao, Katherine Go

Liao, Katherine Go is an individual health care provider with primary practice located at 1601 Roosevelt Rd , Niagara WI 54151-1043. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is her primary health care specialty. Liao, Katherine Go can be contacted via phone (715) 251-1780.

Contact Information

Primary practice address
1601 Roosevelt Rd Niagara WI 54151-1043
Phone: (715) 251-1780
Fax: (715) 251-1787
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 42715-020 Wisconsin
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 4301077176 Michigan
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 42715-020 Wisconsin

Profile Details

NPI number 1275505190
LBN Legal business name Liao, Katherine Go
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2006
Last updated Mar 18th, 2013 - about 13 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 1275505190 NPPES
Michigan Other 050B210120 BCBS
Michigan Other 1027531 BCBS
Michigan MEDICAID 4782601 BCBS
Michigan MEDICAID 4782568 BCBS
Michigan MEDICAID 34051000 BCBS
Michigan MEDICAID 4782512 BCBS
Michigan Other 050077649 BCBS
Michigan MEDICAID 4259562 BCBS
Michigan Other 050077646 BCBS

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