Individual
HAROLD JOHN GOEBEL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
4309 W JEFFERSON BLVD, FORT WAYNE, IN 46804-6819
(260) 436-3783
(260) 432-2330
Mailing address
4309 W JEFFERSON BLVD, FORT WAYNE, IN 46804-6819
(260) 436-3783
(260) 432-2330
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08001017A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000087061
BLUE CROSS AND BLUE SHIEL
IN
01
—
4351502
AETNA INS. NUMBER
IN
Enumeration date
04/14/2006
Last updated
07/08/2007
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