Goldstein, Jake Albert

Goldstein, Jake Albert is an individual health care provider with primary practice located at 9160 Forum Corporate Pkwy Ste 350 , Fort Myers FL 33905-7808. He recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Technician, Other, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is his primary health care specialty. Goldstein, Jake Albert can be contacted via phone (855) 832-6727.

Contact Information

Primary practice address
9160 Forum Corporate Pkwy Ste 350 Fort Myers FL 33905-7808
Phone: (855) 832-6727
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1386345221
LBN Legal business name Goldstein, Jake Albert
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2023
Last updated May 17th, 2023 - about 2 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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