Goldfarb, Jonathan N
Goldfarb, Jonathan N is an individual health care provider with primary practice located at 751 N Rutledge St , Springfield IL 62702-4909. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Goldfarb, Jonathan N can be contacted via phone (217) 545-3821.Contact Information
Primary practice address
751 N Rutledge St
Springfield IL 62702-4909
Phone: (217) 545-3821
Fax: (217) 545-4485
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 036062231 | Illinois |
Profile Details
| NPI number | 1366445249 |
|---|---|
| LBN Legal business name | Goldfarb, Jonathan N |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 24th, 2005 |
| Last updated | Aug 28th, 2009 - 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 | 1366445249 | NPPES |
| Illinois | MEDICAID | 036062231 |
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