Goldmakher, Tera Melanne
Goldmakher, Tera Melanne is an individual health care provider with primary practice located at 33155 Annapolis St Emergency Dept, Wayne MI 48184-2405. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Goldmakher, Tera Melanne can be contacted via phone (734) 467-4042.Contact Information
Primary practice address
33155 Annapolis St Emergency Dept
Wayne MI 48184-2405
Phone: (734) 467-4042
Fax: (734) 467-5500
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 35769 | Arizona |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | C53679 | California |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 4301078436 | Michigan |
Profile Details
| NPI number | 1043258759 |
|---|---|
| LBN Legal business name | Goldmakher, Tera Melanne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 3rd, 2006 |
| Last updated | Jun 26th, 2013 - about 11 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 | 1043258759 | NPPES |
| Michigan | Other | 11352458 | CAQH |
| Michigan | MEDICAID | 116476 | CAQH |
| Michigan | MEDICAID | 1043258759 | CAQH |
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