Goldberg, Ian J

Goldberg, Ian J is an individual health care provider with primary practice located at 1340 Charles St Ste 300 , Rockford IL 61104-2200. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Goldberg, Ian J can be contacted via phone (779) 696-5888.

Contact Information

Primary practice address
1340 Charles St Ste 300 Rockford IL 61104-2200
Phone: (779) 696-5888
Fax: (779) 696-5898
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 036074317 Illinois

Profile Details

NPI number 1871574301
LBN Legal business name Goldberg, Ian J
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2005
Last updated Mar 2nd, 2021 - about 5 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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