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
Fax: (918) 584-4479
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952396186 NPPES
Oklahoma MEDICAID 100198360A

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