Goldlust, Eric Jonathan
Goldlust, Eric Jonathan is an individual health care provider with primary practice located at 593 Eddy St Claverick 2, Providence RI 02903-4923. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Goldlust, Eric Jonathan can be contacted via phone (401) 519-1604.Contact Information
Primary practice address
593 Eddy St Claverick 2
Providence RI 02903-4923
Phone: (401) 519-1604
Fax: (401) 272-0538
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 4301083569 | Michigan |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | MD12635 | Rhode Island |
Profile Details
| NPI number | 1578681391 |
|---|---|
| LBN Legal business name | Goldlust, Eric Jonathan |
| Credentials | M.D., PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 27th, 2007 |
| Last updated | Jan 14th, 2022 - about 3 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 | 1578681391 | NPPES |
| Rhode Island | Other | 939025129 | RI MEDICARE GROUP NPI |
| Rhode Island | Other | 007061003 | RI MEDICARE GROUP NPI |
| Rhode Island | Other | 12292008 | RI MEDICARE GROUP NPI |
| Rhode Island | MEDICAID | 2157454 | RI MEDICARE GROUP NPI |
| Rhode Island | MEDICAID | EG72322 | RI MEDICARE GROUP NPI |
| Rhode Island | Other | 10302008 | RI MEDICARE GROUP NPI |
| Rhode Island | Other | P00711112 | RI MEDICARE GROUP NPI |
| Rhode Island | Other | 09/30/2008 | RI MEDICARE GROUP NPI |
| Rhode Island | Other | 04/15/2009 | RI MEDICARE GROUP NPI |
Popular Providers
-
Smith, Jessica Leigh
593 Eddy St Claverick 2, Providence RI 02903-4923 -
Siegel, Nathan A
593 Eddy St , Providence RI 02903-4923 -
Kaplan, David
164 Summit Ave , Providence RI 02906-2853 -
Binder, William David
593 Eddy Street, Claverick 2 , Providence RI 02903-4923 -
Foggle, John L
593 Eddy St Claverick 2, Providence RI 02903-4923 -
Carter, Ryan
593 Eddy St , Providence RI 02903-4923 -
Bonitati, Michael J
825 Chalkstone Ave , Providence RI 02908-4728 -
Rayner, James R. J.
593 Eddy St Claverick 2, Providence RI 02903-4923