Goldberg, Ellyn
Goldberg, Ellyn is an individual health care provider with primary practice located at 200 Elizabeth St , Charleston WV 25311-2119. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Goldberg, Ellyn can be contacted via phone (304) 348-7740.Contact Information
Primary practice address
200 Elizabeth St
Charleston WV 25311-2119
Phone: (304) 348-7740
Fax: (304) 348-6671
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 6099 | West Virginia |
Profile Details
| NPI number | 1659553469 |
|---|---|
| LBN Legal business name | Goldberg, Ellyn |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 4th, 2007 |
| Last updated | Dec 4th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659553469 | NPPES |
| West Virginia | MEDICAID | 0155199000 |
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