Goldberg, Robert A

Goldberg, Robert A is an individual health care provider with primary practice located at 1650 Cochrane Circle Dept Of Surgery/Chiropractic Fort Carson Army Base, Ft Carson CO 80913-5101. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Goldberg, Robert A can be contacted via phone (724) 387-2455.

Contact Information

Primary practice address
1650 Cochrane Circle Dept Of Surgery/Chiropractic Fort Carson Army Base Ft Carson CO 80913-5101
Phone: (724) 387-2455
Fax: (724) 387-2456
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X DC007714L Pennsylvania

Profile Details

NPI number 1316930498
LBN Legal business name Goldberg, Robert A
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2005
Last updated Sep 10th, 2015 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1316930498 NPPES
Pennsylvania MEDICAID 001831390004
Pennsylvania Other 1601699
Pennsylvania Other 300293906
Pennsylvania Other 432048389

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