Goltry, Brian W

Goltry, Brian W is an individual health care provider with primary practice located at 2347 E Gala St , Meridian ID 83642-4881. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Goltry, Brian W can be contacted via phone (208) 323-0031.

Contact Information

Primary practice address
2347 E Gala St Meridian ID 83642-4881
Fax: (208) 323-0064
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X M-7838 Idaho

Profile Details

NPI number 1578591210
LBN Legal business name Goltry, Brian W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
Last updated Jan 23rd, 2014 - about 10 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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