Goldman, Edward Mark

Goldman, Edward Mark is an sole proprietor health care provider with primary practice located at 100 E Schuster Ave , El Paso TX 79902-3556. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Goldman, Edward Mark can be contacted via phone (915) 542-3059.

Contact Information

Primary practice address
100 E Schuster Ave El Paso TX 79902-3556
Fax: (915) 533-2504
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X E9208 Texas
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X E9208 Texas

Profile Details

NPI number 1972610103
LBN Legal business name Goldman, Edward Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 24th, 2006
Last updated Dec 3rd, 2018 - about 6 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 1972610103 NPPES
Texas MEDICAID 134873202

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