Goldsmith, Gordon

Goldsmith, Gordon is an individual health care provider with primary practice located at 2943 Northgate Drive , Iowa City IA 52245. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Goldsmith, Gordon can be contacted via phone (319) 338-1197.

Contact Information

Primary practice address
2943 Northgate Drive Iowa City IA 52245
Fax: (319) 337-2199
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 18441 Iowa

Profile Details

NPI number 1205834793
LBN Legal business name Goldsmith, Gordon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2005
Last updated May 23rd, 2008 - about 16 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 1205834793 NPPES
Other 16D0386507 CLIA
MEDICAID 0163394 CLIA

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