Goldberg, Mark
Goldberg, Mark is an sole proprietor health care provider with primary practice located at 10751 Falls Rd Ste 439 , Lutherville MD 21093-4580. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Goldberg, Mark can be contacted via phone (443) 835-6991.Contact Information
Primary practice address
10751 Falls Rd Ste 439
Lutherville MD 21093-4580
Phone: (443) 835-6991
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1609478486 |
|---|---|
| LBN Legal business name | Goldberg, Mark |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 16th, 2020 |
| Last updated | Nov 16th, 2020 - about 4 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 | 1609478486 | NPPES |
| Other | 1942663398 | NPPES |
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