Newbold, Karla Goulart

Newbold, Karla Goulart is an sole proprietor health care provider with primary practice located at 5215 Holy Cross Pkwy Emergency Department, Mishawaka IN 46545-1469. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Newbold, Karla Goulart can be contacted via phone (574) 335-5000.

Contact Information

Primary practice address
5215 Holy Cross Pkwy Emergency Department Mishawaka IN 46545-1469
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 01069152A Indiana
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301111525 Michigan
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 125-053063 Illinois
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 4301111525 Michigan

Profile Details

NPI number 1366609547
LBN Legal business name Newbold, Karla Goulart
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 16th, 2008
Last updated Jul 3rd, 2024 - about 5 months 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 1366609547 NPPES
Indiana MEDICAID 201012560

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