Goldflies, Mitchell
Goldflies, Mitchell is an sole proprietor health care provider with primary practice located at 6445 N Central Ave , Chicago IL 60646-2901. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Goldflies, Mitchell can be contacted via phone (773) 792-3311.Contact Information
Primary practice address
6445 N Central Ave
Chicago IL 60646-2901
Phone: (773) 792-3311
Fax: (773) 775-6212
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 036052967 | Illinois |
Profile Details
| NPI number | 1730189598 |
|---|---|
| LBN Legal business name | Goldflies, Mitchell |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 22nd, 2005 |
| Last updated | Aug 2nd, 2013 - about 13 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 | 1730189598 | NPPES |
| Illinois | MEDICAID | 036052967 |
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