Goldstein, Jessica R

Goldstein, Jessica R is an individual health care provider with primary practice located at 3999 Richmond Rd , Beachwood OH 44122-6046. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Goldstein, Jessica R can be contacted via phone (216) 593-5800.

Contact Information

Primary practice address
3999 Richmond Rd Beachwood OH 44122-6046
Phone: (216) 593-5800
Fax: (216) 844-5922
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 35084725 Ohio

Profile Details

NPI number 1740382449
LBN Legal business name Goldstein, Jessica R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2006
Last updated Nov 18th, 2015 - about 9 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 1740382449 NPPES
Ohio Other 29076568600 BWC
Ohio MEDICAID 2488820 BWC

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