Goldblatt, William Gerald
Goldblatt, William Gerald is an sole proprietor health care provider with primary practice located at 322 N San Dimas Ave , San Dimas CA 91773-2601. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Goldblatt, William Gerald can be contacted via phone (909) 592-4438.Contact Information
Primary practice address
322 N San Dimas Ave
San Dimas CA 91773-2601
Phone: (909) 592-4438
Fax: (909) 592-4439
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | E2896 | California |
Profile Details
NPI number | 1467420802 |
---|---|
LBN Legal business name | Goldblatt, William Gerald |
Credentials | Doctor of Podiatric Medicine (DPM) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 10th, 2006 |
Last updated | Feb 16th, 2010 - about 14 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 | 1467420802 | NPPES |
California | MEDICAID | 000E28960 |
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