Goldner, Alexander Michael

Goldner, Alexander Michael is an individual health care provider with primary practice located at 850 Sw 26Th St , Corvallis OR 97331-8624. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Goldner, Alexander Michael can be contacted via phone (541) 737-9355.

Contact Information

Primary practice address
850 Sw 26Th St Corvallis OR 97331-8624
Phone: (541) 737-9355
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA2013-0058 New Mexico
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA191536 Oregon

Profile Details

NPI number 1164857520
LBN Legal business name Goldner, Alexander Michael
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 4th, 2013
Last updated Jan 18th, 2024 - about last year

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 1164857520 NPPES
New Mexico Other 326185YKWY MEDICARE PTAN
New Mexico MEDICAID 72728825 MEDICARE PTAN

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