Goldberg, Jerry W

Goldberg, Jerry W is an individual health care provider with primary practice located at 1000 N Oak Ave , Marshfield WI 54449-5703. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Rheumatology. Allopathic & Osteopathic Physicians / Rheumatology is his primary health care specialty. Goldberg, Jerry W can be contacted via phone (715) 387-5190.

Contact Information

Primary practice address
1000 N Oak Ave Marshfield WI 54449-5703
Phone: (715) 387-5190
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 26375 Wisconsin
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 26375 Wisconsin

Profile Details

NPI number 1487754800
LBN Legal business name Goldberg, Jerry W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2006
Last updated Jan 6th, 2011 - about 14 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 1487754800 NPPES
Wisconsin MEDICAID 30591000

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