Goldberg, Jacob
Goldberg, Jacob is an sole proprietor health care provider with primary practice located at 359 Union Ave , Framingham MA 01702-6340. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Goldberg, Jacob can be contacted via phone (508) 620-1919.Contact Information
Primary practice address
359 Union Ave
Framingham MA 01702-6340
Phone: (508) 620-1919
Fax: (508) 820-3093
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 32863 | Massachusetts |
Profile Details
| NPI number | 1235157249 |
|---|---|
| LBN Legal business name | Goldberg, Jacob |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 17th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235157249 | NPPES |
| Massachusetts | MEDICAID | 3023621 |
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