Goldblatt, Matthew Isaac

Goldblatt, Matthew Isaac is an individual health care provider with primary practice located at 9200 W Wisconsin Ave Department Of Surgery, Milwaukee WI 53226-3522. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Goldblatt, Matthew Isaac can be contacted via phone (414) 805-5727.

Contact Information

Primary practice address
9200 W Wisconsin Ave Department Of Surgery Milwaukee WI 53226-3522
Phone: (414) 805-5727
Fax: (414) 454-0152
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 40134-20 Wisconsin

Profile Details

NPI number 1790771517
LBN Legal business name Goldblatt, Matthew Isaac
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2005
Last updated Nov 22nd, 2019 - about 6 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 1790771517 NPPES
Wisconsin MEDICAID 1790771517

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