Goulder, Steven Jay
Goulder, Steven Jay is an individual health care provider with primary practice located at 500 E Ogden Ave 200, Hinsdale IL 60521-2469. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is his primary health care specialty. Goulder, Steven Jay can be contacted via phone (630) 325-6647.Contact Information
Primary practice address
500 E Ogden Ave 200
Hinsdale IL 60521-2469
Phone: (630) 325-6647
Fax: (630) 325-4500
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | 036-108689 | Illinois |
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | 036-108689 | Illinois |
Profile Details
| NPI number | 1770560831 |
|---|---|
| LBN Legal business name | Goulder, Steven Jay |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 29th, 2005 |
| Last updated | Sep 12th, 2012 - about 12 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 | 1770560831 | NPPES |
| Illinois | Other | K09943 | MEDICARE |
| Illinois | MEDICAID | 36108689 | MEDICARE |
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