Goldberger, Jacob H
Goldberger, Jacob H is an individual health care provider with primary practice located at 4571 Colonial Blvd Suite 210, Fort Myers FL 33966-1156. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Goldberger, Jacob H can be contacted via phone (239) 274-7600.Contact Information
Primary practice address
4571 Colonial Blvd Suite 210
Fort Myers FL 33966-1156
Phone: (239) 274-7600
Fax: (239) 274-7601
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | ME 35410 | Florida |
Profile Details
| NPI number | 1093713489 |
|---|---|
| LBN Legal business name | Goldberger, Jacob H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 11th, 2005 |
| Last updated | Mar 21st, 2017 - about 7 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 | 1093713489 | NPPES |
| Florida | Other | P00413910 | RAILROAD MEDICARE |
| Florida | MEDICAID | 039133600 | RAILROAD MEDICARE |
| Florida | Other | 1278209 | RAILROAD MEDICARE |
| Florida | Other | 7365988 | RAILROAD MEDICARE |
| Florida | Other | 95439 | RAILROAD MEDICARE |
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