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
Fax: (909) 592-4439
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467420802 NPPES
California MEDICAID 000E28960

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