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
Fax: (773) 775-6212
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730189598 NPPES
Illinois MEDICAID 036052967

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