Goldberg, Ronald S
Goldberg, Ronald S is an individual health care provider with primary practice located at 4525 3Rd Ave Se Ste 200, Lacey WA 98503-1010. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Goldberg, Ronald S can be contacted via phone (360) 412-8909.Contact Information
Primary practice address
4525 3Rd Ave Se Ste 200
Lacey WA 98503-1010
Phone: (360) 412-8909
Fax: (360) 412-8954
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | MD00017869 | Washington |
Profile Details
| NPI number | 1659378941 |
|---|---|
| LBN Legal business name | Goldberg, Ronald S |
| Credentials | MD PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 1st, 2005 |
| 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 | 1659378941 | NPPES |
| Washington | MEDICAID | 1054675 |
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