Individual
DR. ROBERT HERSCHELL GOECKEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CHIROPRACTOR
Contact information
Practice address
G4306 RICHFIELD ROAD, FLINT, MI 48506-2022
(810) 736-0501
(810) 736-4783
Mailing address
G4306 RICHFIELD ROAD, FLINT, MI 48506-2022
(810) 736-0501
(810) 736-4783
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301004573
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0B50891
MEDICARE ID
MI
05
—
1658358
—
MI
01
—
950B550150
BCBS MICHIGAN
MI
01
—
P01309793
PALMETTO RAILROAD MEDICARE
MI
01
—
P73506
BLUE CARE NET NUMBER
MI
01
—
XX05374
HEALTH PLUS PROVIDER CODE
MI
Enumeration date
06/27/2005
Last updated
12/30/2019
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