Goliath, Gilbert

Goliath, Gilbert is an sole proprietor health care provider with primary practice located at 4607 Maccorkle Ave Sw Ste 400 , South Charleston WV 25309-1364. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Goliath, Gilbert can be contacted via phone (304) 766-3988.

Contact Information

Primary practice address
4607 Maccorkle Ave Sw Ste 400 South Charleston WV 25309-1364
Fax: (304) 766-3984
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 15811 West Virginia

Profile Details

NPI number 1437155991
LBN Legal business name Goliath, Gilbert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 21st, 2005
Last updated Jul 22nd, 2020 - about 4 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 1437155991 NPPES
West Virginia MEDICAID 0106975000

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