Goldberg, Craig E
Goldberg, Craig E is an sole proprietor health care provider with primary practice located at 1027 Western Avenue , Brattleboro VT 05301. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Goldberg, Craig E can be contacted via phone (802) 254-4545.Contact Information
Primary practice address
1027 Western Avenue
Brattleboro VT 05301
Phone: (802) 254-4545
Fax: (802) 254-0079
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 0320000406 | Vermont |
Profile Details
| NPI number | 1205862372 |
|---|---|
| LBN Legal business name | Goldberg, Craig E |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 23rd, 2006 |
| Last updated | Sep 25th, 2013 - about 13 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 | 1205862372 | NPPES |
| Other | 04YP03636VT01 | ANTHEM BLUE CROSS BLUE SH | |
| Other | 10819350 | ANTHEM BLUE CROSS BLUE SH | |
| Other | 08P023 | ANTHEM BLUE CROSS BLUE SH | |
| Other | 080055781 | ANTHEM BLUE CROSS BLUE SH |
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