Goldman, Ian L
Goldman, Ian L is an sole proprietor health care provider with primary practice located at 17300 N Perimeter Dr Ste 220 , Scottsdale AZ 85255-6703. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Goldman, Ian L can be contacted via phone (480) 661-2661.Contact Information
Primary practice address
17300 N Perimeter Dr Ste 220
Scottsdale AZ 85255-6703
Phone: (480) 661-2661
Fax: (623) 900-6791
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Urology | 208800000X | 21363 | Arizona |
Profile Details
NPI number | 1255371357 |
---|---|
LBN Legal business name | Goldman, Ian L |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 7th, 2006 |
Last updated | May 19th, 2023 - about last year |
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 | 1255371357 | NPPES |
Arizona | MEDICAID | 839847 |
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