Goldblatt, Gayle D
Goldblatt, Gayle D is an sole proprietor health care provider with primary practice located at 1957 Thompson Rd , Coos Bay OR 97420-2040. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Goldblatt, Gayle D can be contacted via phone (541) 266-8575.Contact Information
Primary practice address
1957 Thompson Rd
Coos Bay OR 97420-2040
Phone: (541) 266-8575
Fax: (541) 269-7656
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | L3121 | Oregon |
Profile Details
| NPI number | 1912923848 |
|---|---|
| LBN Legal business name | Goldblatt, Gayle D |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 14th, 2006 |
| Last updated | Aug 1st, 2013 - about 11 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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