Goldberg, Jeffrey M
Goldberg, Jeffrey M is an individual health care provider with primary practice located at 3991 Dutchmans Ln Ste 405 , Louisville KY 40207-4723. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Surgical Oncology, Allopathic & Osteopathic Physicians / Gynecologic Oncology. Allopathic & Osteopathic Physicians / Gynecologic Oncology is his primary health care specialty. Goldberg, Jeffrey M can be contacted via phone (502) 899-3366.Contact Information
Primary practice address
3991 Dutchmans Ln Ste 405
Louisville KY 40207-4723
Phone: (502) 899-3366
Fax: (502) 899-6686
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 37030 | Kentucky |
| Allopathic & Osteopathic Physicians / Surgical Oncology | 2086X0206X | 37030 | Kentucky |
| Allopathic & Osteopathic Physicians / Gynecologic Oncology | 207VX0201X | 37030 | Kentucky |
Profile Details
| NPI number | 1720045834 |
|---|---|
| LBN Legal business name | Goldberg, Jeffrey M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 1st, 2006 |
| Last updated | Nov 23rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720045834 | NPPES |
| Kentucky | Other | 000020583V | HUMANA PROVIDER NUMB |
| Kentucky | Other | 1988251 | HUMANA PROVIDER NUMB |
| Kentucky | MEDICAID | 64045040 | HUMANA PROVIDER NUMB |
| Kentucky | Other | 7872269 | HUMANA PROVIDER NUMB |
| Kentucky | MEDICAID | 200321900A | HUMANA PROVIDER NUMB |
| Kentucky | Other | 980000377 | HUMANA PROVIDER NUMB |
| Kentucky | Other | 000000216256 | HUMANA PROVIDER NUMB |
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