Goldstein, Jacob

Goldstein, Jacob is an individual health care provider with primary practice located at 2506 Willowbrook Pkwy , Indianapolis IN 46205-1564. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Goldstein, Jacob can be contacted via phone (765) 288-1928.

Contact Information

Primary practice address
2506 Willowbrook Pkwy Indianapolis IN 46205-1564
Phone: (765) 288-1928
Fax: (317) 217-1769
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 87000403A Indiana
Behavioral Health & Social Service Providers / Clinical 1041C0700X 34006843A Indiana

Profile Details

NPI number 1902212582
LBN Legal business name Goldstein, Jacob
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2014
Last updated Jun 8th, 2015 - 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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