Goldfarb, Glenn Robert

Goldfarb, Glenn Robert is an sole proprietor health care provider with primary practice located at 2345 Chesterfield Ave Suite 303, Charleston WV 25304-1064. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Goldfarb, Glenn Robert can be contacted via phone (304) 343-0149.

Contact Information

Primary practice address
2345 Chesterfield Ave Suite 303 Charleston WV 25304-1064
Phone: (304) 343-0149
Fax: (304) 343-2587
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 15212 West Virginia

Profile Details

NPI number 1679536627
LBN Legal business name Goldfarb, Glenn Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 10th, 2006
Last updated Dec 19th, 2011 - about 14 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 1679536627 NPPES
West Virginia MEDICAID 0089743000

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