Goldberg, Rachel Ann

Goldberg, Rachel Ann is an individual health care provider with primary practice located at 9400 Zane Ave N , Brooklyn Park MN 55443-1814. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Goldberg, Rachel Ann can be contacted via phone (763) 762-8800.

Contact Information

Primary practice address
9400 Zane Ave N Brooklyn Park MN 55443-1814
Phone: (763) 762-8800
Fax: (763) 315-4669
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 12161 Minnesota

Profile Details

NPI number 1073819470
LBN Legal business name Goldberg, Rachel Ann
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2011
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073819470 NPPES
New York MEDICAID 03334109

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