Goldman, Jeffrey Howard

Goldman, Jeffrey Howard is an individual health care provider with primary practice located at 4100 Park Forest Dr. Suite 208, Traverse City MI 49684. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Goldman, Jeffrey Howard can be contacted via phone (231) 935-5710.

Contact Information

Primary practice address
4100 Park Forest Dr. Suite 208 Traverse City MI 49684
Phone: (231) 935-5710
Fax: (231) 935-9045
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 4301095691 Michigan

Profile Details

NPI number 1316039142
LBN Legal business name Goldman, Jeffrey Howard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2006
Last updated Apr 1st, 2010 - about 15 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 1316039142 NPPES
Michigan Other 0280037 BCBSM
Michigan MEDICAID 1316039142 BCBSM

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