Goldberg, Myron Lee

Goldberg, Myron Lee is an individual health care provider with primary practice located at University Of Washington Medical Ctr 1959 Ne Pacific St, Seattle WA 98195-6157. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Rehabilitation. Behavioral Health & Social Service Providers / Rehabilitation is his primary health care specialty. Goldberg, Myron Lee can be contacted via phone (206) 598-4295.

Contact Information

Primary practice address
University Of Washington Medical Ctr 1959 Ne Pacific St Seattle WA 98195-6157
Phone: (206) 598-4295
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY00001795 Washington
Behavioral Health & Social Service Providers / Rehabilitation 103TR0400X PY00001795 Washington

Profile Details

NPI number 1639254469
LBN Legal business name Goldberg, Myron Lee
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2006
Last updated Oct 10th, 2008 - about 16 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1639254469 NPPES
Other 3516 INTERNAL ID-MOTOR VEHICLE ID
MEDICAID 8352270 INTERNAL ID-MOTOR VEHICLE ID
Other P00088051 INTERNAL ID-MOTOR VEHICLE ID

Popular Providers