Goldsmith, Gordon
Goldsmith, Gordon is an individual health care provider with primary practice located at 2943 Northgate Drive , Iowa City IA 52245. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Goldsmith, Gordon can be contacted via phone (319) 338-1197.Contact Information
Primary practice address
2943 Northgate Drive
Iowa City IA 52245
Phone: (319) 338-1197
Fax: (319) 337-2199
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 18441 | Iowa |
Profile Details
| NPI number | 1205834793 |
|---|---|
| LBN Legal business name | Goldsmith, Gordon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 8th, 2005 |
| Last updated | May 23rd, 2008 - about 18 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 | 1205834793 | NPPES |
| Other | 16D0386507 | CLIA | |
| MEDICAID | 0163394 | CLIA |
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