Debra Sue Goettsch in Berkeley - Physician Assistant
Debra Sue Goettsch - NPI 1841202165
Debra Sue Goettsch is a Physician Assistant in Berkeley, California. Debra Sue Goettsch practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Debra Sue Goettsch is 1841202165. The last update date is 2015-04-10.
Debra Sue Goettsch's current location address is 1801 Shattuck Ave Ste A, Berkeley, California. You can contact this provider via phone number 5102251025 and fax number 5102250119. The mailing address for Debra Sue Goettsch is 1801 Shattuck Ave Ste A, Berkeley, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Debra Sue Goettsch |
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Address | 1801 Shattuck Ave Ste A, Berkeley, California |
Phone Number | 5102251025 |
Fax Number | 5102250119 |
Sole Proprietor | N |
Credentials | P.A.-C |
NPI Number Detail
NPI Number | 1841202165 |
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Provider Enumeration Date | 2006-08-13 |
Last Updated Date | 2015-04-10 |
Provider Mailing Address Detail
Address | 1801 Shattuck Ave Ste A |
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City | Berkeley |
State | California (CA) |
Post Code | 947091872 |
Phone Number | 5102251025 |
Fax Number | 5102250119 |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Licence No | PA13453 |
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the Debra Sue Goettsch's 1841202165?
The Debra Sue Goettsch's NPI (National Provider Identifier) Number is 1841202165. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Debra Sue Goettsch located?
The Debra Sue Goettsch is located at 1801 Shattuck Ave Ste A, Berkeley, CA 947091872.
What is the Debra Sue Goettsch's specialty and taxonomy code?
The Debra Sue Goettsch's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
What is the area of specialization for Debra Sue Goettsch, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Debra Sue Goettsch is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1841202165 to Debra Sue Goettsch?
The Debra Sue Goettsch received its 1841202165 assignment from the Centers for Medicare & Medicaid Services on 2006-08-13.