Goldberg, Eric J

Goldberg, Eric J is an individual health care provider with primary practice located at 3235 Academy Ave Ste 305, Portsmouth VA 23703-3200. He recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Neurophysiology, which is considered as his primary health care specialty. Goldberg, Eric J can be contacted via phone (757) 686-9300.

Contact Information

Primary practice address
3235 Academy Ave Ste 305 Portsmouth VA 23703-3200
Fax: (757) 686-1514
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Neurophysiology 2084N0600X Virginia

Profile Details

NPI number 1629028238
LBN Legal business name Goldberg, Eric J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Mar 7th, 2008 - about 16 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 1629028238 NPPES
Virginia Other 283422 MPIPA OPTIMA CHOICE
Virginia Other 063EG MPIPA OPTIMA CHOICE
Virginia MEDICAID 7114486 MPIPA OPTIMA CHOICE
Virginia Other 0500484 MPIPA OPTIMA CHOICE
Virginia Other 31253 MPIPA OPTIMA CHOICE
Virginia MEDICAID 89063EG MPIPA OPTIMA CHOICE
Virginia Other 283422 MPIPA OPTIMA CHOICE
Virginia Other 317408 MPIPA OPTIMA CHOICE

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