Mcgoldrick, Justin B.

Mcgoldrick, Justin B. is an individual health care provider with primary practice located at 110 Hospital Dr , Jefferson City TN 37760-5281. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Mcgoldrick, Justin B. can be contacted via phone (865) 471-2500.

Contact Information

Primary practice address
110 Hospital Dr Jefferson City TN 37760-5281
Phone: (865) 471-2500
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 35270 Tennessee

Profile Details

NPI number 1114960101
LBN Legal business name Mcgoldrick, Justin B.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Nov 6th, 2007 - about 18 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 1114960101 NPPES
Tennessee MEDICAID 3865961
Tennessee Other 4150060
Tennessee Other 4014592
Tennessee Other P00189111
Tennessee MEDICAID 3865960

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