Goltz, Hayden R
Goltz, Hayden R is an sole proprietor health care provider with primary practice located at 1130 Crosspointe Ln Suite 8, Webster NY 14580-2986. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Goltz, Hayden R can be contacted via phone (585) 787-4407.Contact Information
Primary practice address
1130 Crosspointe Ln Suite 8
Webster NY 14580-2986
Phone: (585) 787-4407
Fax: (585) 787-4428
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 226840 | New York |
Profile Details
| NPI number | 1144202482 |
|---|---|
| LBN Legal business name | Goltz, Hayden R |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 14th, 2005 |
| Last updated | Apr 25th, 2011 - about 13 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 | 1144202482 | NPPES |
| New York | MEDICAID | 02424546 |
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