Goldsmith, Jon R

Goldsmith, Jon R is an individual health care provider with primary practice located at 6829 N 72Nd St Suite 7500, Omaha NE 68122-1723. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Goldsmith, Jon R can be contacted via phone (402) 933-8540.

Contact Information

Primary practice address
6829 N 72Nd St Suite 7500 Omaha NE 68122-1723
Phone: (402) 933-8540
Fax: (402) 933-8578
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 304 Nebraska

Profile Details

NPI number 1548225816
LBN Legal business name Goldsmith, Jon R
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2006
Last updated Aug 2nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548225816 NPPES
Nebraska MEDICAID 10026225000

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