Goldstein, Mitchell B
Goldstein, Mitchell B is an individual health care provider with primary practice located at 1245 Washington Ave , Detroit Lakes MN 56501-3905. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Goldstein, Mitchell B can be contacted via phone (218) 846-2000.Contact Information
Primary practice address
1245 Washington Ave
Detroit Lakes MN 56501-3905
Phone: (218) 846-2000
Fax: (218) 846-2114
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 35264 | Minnesota |
Profile Details
| NPI number | 1497773030 |
|---|---|
| LBN Legal business name | Goldstein, Mitchell B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2006 |
| Last updated | Mar 29th, 2022 - about 3 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 | 1497773030 | NPPES |
| North Dakota | MEDICAID | 10974 |
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