Goldberg, Marc Andrew
Goldberg, Marc Andrew is an individual health care provider with primary practice located at 2000 S Wheeling Ave Suite 501, Tulsa OK 74104-5639. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Goldberg, Marc Andrew can be contacted via phone (918) 584-4433.Contact Information
Primary practice address
2000 S Wheeling Ave Suite 501
Tulsa OK 74104-5639
Phone: (918) 584-4433
Fax: (918) 584-4479
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 20009 | Oklahoma |
Profile Details
NPI number | 1952396186 |
---|---|
LBN Legal business name | Goldberg, Marc Andrew |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 14th, 2005 |
Last updated | Jun 27th, 2019 - about 5 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 | 1952396186 | NPPES |
Oklahoma | MEDICAID | 100198360A |
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