1609983956 NPI number — DR. MARIAH ANN GOECKE D.C.

Table of content: DR. MARIAH ANN GOECKE D.C. (NPI 1609983956)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1609983956 NPI number — DR. MARIAH ANN GOECKE D.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
GOECKE
Provider First Name:
MARIAH
Provider Middle Name:
ANN
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
D.C.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1609983956
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/13/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
W61N306 WASHINGTON AVE
Provider Second Line Business Mailing Address:
STE 205
Provider Business Mailing Address City Name:
CEDARBURG
Provider Business Mailing Address State Name:
WI
Provider Business Mailing Address Postal Code:
53012-2451
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
262-951-5189
Provider Business Mailing Address Fax Number:
262-240-1602

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
10532 N PORT WASHINGTON RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MEQUON
Provider Business Practice Location Address State Name:
WI
Provider Business Practice Location Address Postal Code:
53092-5563
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
262-240-1600
Provider Business Practice Location Address Fax Number:
262-240-1602
Provider Enumeration Date:
08/24/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  4127-012 , registered in the state of WI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 38967200 , issued by the state of ( WI ) . This identifiers is of the category "MEDICAID".




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