Goldman, Edward Mark
Goldman, Edward Mark is an sole proprietor health care provider with primary practice located at 100 E Schuster Ave , El Paso TX 79902-3556. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Goldman, Edward Mark can be contacted via phone (915) 542-3059.Contact Information
Primary practice address
100 E Schuster Ave
El Paso TX 79902-3556
Phone: (915) 542-3059
Fax: (915) 533-2504
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | E9208 | Texas |
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | E9208 | Texas |
Profile Details
| NPI number | 1972610103 |
|---|---|
| LBN Legal business name | Goldman, Edward Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 24th, 2006 |
| Last updated | Dec 3rd, 2018 - about 8 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 | 1972610103 | NPPES |
| Texas | MEDICAID | 134873202 |
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