Gold, Edward W

Gold, Edward W is an individual health care provider with primary practice located at 200 Medical Pkwy Ste. 105, Chesapeake VA 23320-4911. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Gold, Edward W can be contacted via phone (757) 547-0302.

Contact Information

Primary practice address
200 Medical Pkwy Ste. 105 Chesapeake VA 23320-4911
Phone: (757) 547-0302
Fax: (757) 547-0305
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X Virginia

Profile Details

NPI number 1558323170
LBN Legal business name Gold, Edward W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2006
Last updated Jul 8th, 2007 - about 19 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 1558323170 NPPES
Virginia Other 095192 ANTHEM BCBS
Virginia MEDICAID 64-5168-3 ANTHEM BCBS

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