Goldstein, Rachel A

Goldstein, Rachel A is an individual health care provider with primary practice located at 1628 N Bosworth Ave #1, Chicago IL 60622-1417. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Goldstein, Rachel A can be contacted via phone (248) 376-5679.

Contact Information

Primary practice address
1628 N Bosworth Ave #1 Chicago IL 60622-1417
Phone: (248) 376-5679
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 5101014818 Michigan
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine 207PE0005X 036-113780 Illinois
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036-113780 Illinois

Profile Details

NPI number 1346287521
LBN Legal business name Goldstein, Rachel A
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2006
Last updated Jul 30th, 2010 - about 14 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 1346287521 NPPES
Michigan Other RG014818 BC/BS OF MICHIGAN
Michigan MEDICAID 036113780 BC/BS OF MICHIGAN
Michigan MEDICAID 114794021 BC/BS OF MICHIGAN

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