Goldman, Samuel
Goldman, Samuel is an individual health care provider with primary practice located at 8208 Louisiana Blvd Ne Suite C, Albuquerque NM 87113-1757. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is his primary health care specialty. Goldman, Samuel can be contacted via phone (505) 858-1222.Contact Information
Primary practice address
8208 Louisiana Blvd Ne Suite C
Albuquerque NM 87113-1757
Phone: (505) 858-1222
Fax: (505) 858-1224
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 94-53 | New Mexico |
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 94-53 | New Mexico |
Profile Details
| NPI number | 1386747632 |
|---|---|
| LBN Legal business name | Goldman, Samuel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 5th, 2006 |
| Last updated | May 20th, 2016 - about 10 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 | 1386747632 | NPPES |
| New Mexico | MEDICAID | 15566 |
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