Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207T00000X | Neurosurgeon | 01069466A | IN |
NPI | 1063675502 |
---|---|
Provider Name | Dr. Eric Alan Goebel |
First Address | Owensboro, KY 42303-1449 |
Second Address | Owensboro, KY 42303-1449 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2008 |
Last Update Date | 20/11/2014 |