Goldberg, Anna
Goldberg, Anna is an sole proprietor health care provider with primary practice located at 9851 S 71St Plz , Papillion NE 68133-2244. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Goldberg, Anna can be contacted via phone (402) 686-2396.Contact Information
Primary practice address
9851 S 71St Plz
Papillion NE 68133-2244
Phone: (402) 686-2396
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 046010577 | Illinois |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1433 | Nebraska |
Profile Details
| NPI number | 1962767236 |
|---|---|
| LBN Legal business name | Goldberg, Anna |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 11th, 2012 |
| Last updated | Jul 14th, 2015 - about 11 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 | 1962767236 | NPPES |
| Nebraska | Other | 12414393 | CAQH |
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