Goldfarb, Samuel B
Goldfarb, Samuel B is an individual health care provider with primary practice located at 2450 Riverside Ave , Minneapolis MN 55454-1450. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Pulmonology. Allopathic & Osteopathic Physicians / Pediatric Pulmonology is his primary health care specialty. Goldfarb, Samuel B can be contacted via phone (612) 365-8061.Contact Information
Primary practice address
2450 Riverside Ave
Minneapolis MN 55454-1450
Phone: (612) 365-8061
Fax: (612) 365-8021
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 68581 | Minnesota |
Allopathic & Osteopathic Physicians / Pediatric Pulmonology | 2080P0214X | MD070749L | Pennsylvania |
Allopathic & Osteopathic Physicians / Pediatric Pulmonology | 2080P0214X | 68581 | Minnesota |
Profile Details
NPI number | 1740202027 |
---|---|
LBN Legal business name | Goldfarb, Samuel B |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 24th, 2006 |
Last updated | May 9th, 2022 - about 2 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 | 1740202027 | NPPES |
Pennsylvania | MEDICAID | 001901235 | |
Pennsylvania | MEDICAID | 8839808 |
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