Goldstein, Jay
Goldstein, Jay is an individual health care provider with primary practice located at 4700 Waters Ave , Savannah GA 31404-6220. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Goldstein, Jay can be contacted via phone (912) 350-3849.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 45229 | Illinois |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 45229 | Georgia |
Profile Details
| NPI number | 1669424164 |
|---|---|
| LBN Legal business name | Goldstein, Jay |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 16th, 2006 |
| Last updated | Dec 26th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669424164 | NPPES |
| South Carolina | MEDICAID | G45292 | |
| South Carolina | Other | 10064487 | |
| South Carolina | Other | N174102 |
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