Goldstein, Marshall L.

Goldstein, Marshall L. is an individual health care provider with primary practice located at 201 E Beaver Ave , State College PA 16801-4902. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Goldstein, Marshall L. can be contacted via phone (814) 238-2862.

Contact Information

Primary practice address
201 E Beaver Ave State College PA 16801-4902
Fax: (814) 234-2201
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OE4231P Pennsylvania

Profile Details

NPI number 1134172307
LBN Legal business name Goldstein, Marshall L.
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134172307 NPPES
Pennsylvania MEDICAID 0229290001

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