Goldberg, Jackson Lane

Goldberg, Jackson Lane is an individual health care provider with primary practice located at 9320 Grand Cordera Pkwy Ste 255 , Colorado Springs CO 80924-7021. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Goldberg, Jackson Lane can be contacted via phone (719) 258-1240.

Contact Information

Primary practice address
9320 Grand Cordera Pkwy Ste 255 Colorado Springs CO 80924-7021
Phone: (719) 258-1240
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X DR.0070364 Colorado

Profile Details

NPI number 1598324188
LBN Legal business name Goldberg, Jackson Lane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2019
Last updated Oct 10th, 2023 - 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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