Goldman, Tracy B
Goldman, Tracy B is an individual health care provider with primary practice located at 2400 Balfour Rd Suite 229, Brentwood CA 94513-4945. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Goldman, Tracy B can be contacted via phone (925) 308-8113.Contact Information
Primary practice address
2400 Balfour Rd Suite 229
Brentwood CA 94513-4945
Phone: (925) 308-8113
Fax: (925) 308-8719
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | A82208 | California |
Profile Details
| NPI number | 1568403913 |
|---|---|
| LBN Legal business name | Goldman, Tracy B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2006 |
| Last updated | Jun 21st, 2012 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568403913 | NPPES |
| California | MEDICAID | 00A822080 |
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