Goldman, Brad Stewart

Goldman, Brad Stewart is an individual health care provider with primary practice located at 2600 Sixth St Sw , Canton OH 44710-1702. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Goldman, Brad Stewart can be contacted via phone (330) 456-2695.

Contact Information

Primary practice address
2600 Sixth St Sw Canton OH 44710-1702
Phone: (330) 456-2695
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 35-075222 Ohio

Profile Details

NPI number 1700877933
LBN Legal business name Goldman, Brad Stewart
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 5th, 2005
Last updated Nov 13th, 2009 - 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 1700877933 NPPES
Ohio MEDICAID 2087512

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