Goldberg, Michael Jay
Goldberg, Michael Jay is an individual health care provider with primary practice located at 4800 Sand Point Way Ne M/S W 7706, Seattle WA 98105-3901. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery, which is considered as his primary health care specialty. Goldberg, Michael Jay can be contacted via phone (206) 987-3755.Contact Information
Primary practice address
4800 Sand Point Way Ne M/S W 7706
Seattle WA 98105-3901
Phone: (206) 987-3755
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery | 207XP3100X | MD00044021 | Washington |
Profile Details
| NPI number | 1366558181 |
|---|---|
| LBN Legal business name | Goldberg, Michael Jay |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 22nd, 2006 |
| Last updated | Jul 8th, 2007 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366558181 | NPPES |
| Washington | MEDICAID | 8410359 |
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