Goldbas, Stephen R

Goldbas, Stephen R is an individual health care provider with primary practice located at 195 Fore River Pkwy Ste 407 , Portland ME 04102-2780. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM. Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM is his primary health care specialty. Goldbas, Stephen R can be contacted via phone (207) 749-6612.

Contact Information

Primary practice address
195 Fore River Pkwy Ste 407 Portland ME 04102-2780
Phone: (207) 749-6612
Fax: (207) 747-4077
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 1678 Maine
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM 204D00000X 1678 Maine

Profile Details

NPI number 1003892605
LBN Legal business name Goldbas, Stephen R
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 2005
Last updated Mar 14th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003892605 NPPES
Maine MEDICAID 1003892605

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