Goldberg, Jay W.

Goldberg, Jay W. is an individual health care provider with primary practice located at 347 Andrieux Street , Sonoma CA 95476-6811. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Goldberg, Jay W. can be contacted via phone (707) 935-5100.

Contact Information

Primary practice address
347 Andrieux Street Sonoma CA 95476-6811
Phone: (707) 935-5100
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X A66617 California

Profile Details

NPI number 1225141971
LBN Legal business name Goldberg, Jay W.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2006
Last updated Jul 2nd, 2008 - about 17 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 1225141971 NPPES
California MEDICAID 00A666170

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