Goldberg, Samuel
Goldberg, Samuel is an sole proprietor health care provider with primary practice located at 10451 Twin Rivers Rd , Columbia MD 21044-2388. He recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Neurophysiology, which is considered as his primary health care specialty. Goldberg, Samuel can be contacted via phone (410) 997-3557.Contact Information
Primary practice address
10451 Twin Rivers Rd
Columbia MD 21044-2388
Phone: (410) 997-3557
Fax: (410) 964-1791
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Clinical Neurophysiology | 2084N0600X | D0024347 | Maryland |
| Allopathic & Osteopathic Physicians / Clinical Neurophysiology | 2084N0600X | M17939 | Maryland |
Profile Details
| NPI number | 1093817983 |
|---|---|
| LBN Legal business name | Goldberg, Samuel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 2nd, 2006 |
| Last updated | Oct 16th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093817983 | NPPES |
| Maryland | Other | 115468 | KAISER |
| Maryland | Other | 034197-000 | KAISER |
| Maryland | Other | PVPB129834 | KAISER |
| Maryland | Other | 347492 | KAISER |
| Maryland | Other | T541-0032 | KAISER |
| Maryland | Other | 2143757000 | KAISER |
| Maryland | MEDICAID | 400491400 | KAISER |
| Maryland | Other | 4281365 | KAISER |
| Maryland | Other | T541-0032 | KAISER |
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