Goldstrom, Robert A

Goldstrom, Robert A is an individual health care provider with primary practice located at 11141 Parkview Plaza Dr Ste 200 , Fort Wayne IN 46845-1714. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Goldstrom, Robert A can be contacted via phone (260) 425-6030.

Contact Information

Primary practice address
11141 Parkview Plaza Dr Ste 200 Fort Wayne IN 46845-1714
Phone: (260) 425-6030
Fax: (260) 425-6028
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 01039248A Indiana

Profile Details

NPI number 1316944614
LBN Legal business name Goldstrom, Robert A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
Last updated Oct 3rd, 2022 - about 2 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 1316944614 NPPES
Indiana MEDICAID 100322990
Indiana Other 000000082093
Indiana Other 1340

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