Goldstein, Gary R
Goldstein, Gary R is an individual health care provider with primary practice located at 11133 Dunn Rd Suite 2335, Saint Louis MO 63136-6119. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Goldstein, Gary R can be contacted via phone (314) 653-5007.Contact Information
Primary practice address
11133 Dunn Rd Suite 2335
Saint Louis MO 63136-6119
Phone: (314) 653-5007
Fax: (314) 653-4149
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | MOR3M34 | Missouri |
Profile Details
| NPI number | 1952392110 |
|---|---|
| LBN Legal business name | Goldstein, Gary R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 4th, 2005 |
| Last updated | May 7th, 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 | 1952392110 | NPPES |
| Missouri | MEDICAID | 202810412 | |
| Missouri | Other | 290007537 | |
| Missouri | Other | CE7661 | |
| Missouri | Other | 290009907 |
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