Goldman, Mitchell

Goldman, Mitchell is an individual health care provider with primary practice located at 18101 Oakwood Blvd , Dearborn MI 48124-4089. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Goldman, Mitchell can be contacted via phone (313) 593-7000.

Contact Information

Primary practice address
18101 Oakwood Blvd Dearborn MI 48124-4089
Phone: (313) 593-7000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 4301083561 Michigan

Profile Details

NPI number 1982682449
LBN Legal business name Goldman, Mitchell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2006
Last updated Oct 17th, 2008 - about 17 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 1982682449 NPPES
Michigan MEDICAID 10-4943130
Michigan MEDICAID 10-4631198
Michigan MEDICAID 10-4631189
Michigan MEDICAID 10-4943140
Michigan MEDICAID 10-4943159
Michigan Other 0108226702
Michigan MEDICAID 10-4631142
Michigan MEDICAID 10-4631151
Michigan MEDICAID 10-4631160

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