Goldberg, Harris Ira
Goldberg, Harris Ira is an individual health care provider with primary practice located at 1696 Se Hillmoor Dr Ste C, Port Saint Lucie FL 34952-7699. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Goldberg, Harris Ira can be contacted via phone (772) 335-3222.Contact Information
Primary practice address
1696 Se Hillmoor Dr Ste C
Port Saint Lucie FL 34952-7699
Phone: (772) 335-3222
Fax: (772) 335-3793
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | CH005283 | Florida |
Profile Details
| NPI number | 1992794663 |
|---|---|
| LBN Legal business name | Goldberg, Harris Ira |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 17th, 2005 |
| Last updated | Jun 4th, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992794663 | NPPES |
| Florida | MEDICAID | 381-223500 |
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