Goldstein, Rachel A
Goldstein, Rachel A is an individual health care provider with primary practice located at 1628 N Bosworth Ave #1, Chicago IL 60622-1417. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Goldstein, Rachel A can be contacted via phone (248) 376-5679.Contact Information
Primary practice address
1628 N Bosworth Ave #1
Chicago IL 60622-1417
Phone: (248) 376-5679
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | 5101014818 | Michigan |
| Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine | 207PE0005X | 036-113780 | Illinois |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 036-113780 | Illinois |
Profile Details
| NPI number | 1346287521 |
|---|---|
| LBN Legal business name | Goldstein, Rachel A |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 2006 |
| Last updated | Jul 30th, 2010 - about 16 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 | 1346287521 | NPPES |
| Michigan | Other | RG014818 | BC/BS OF MICHIGAN |
| Michigan | MEDICAID | 036113780 | BC/BS OF MICHIGAN |
| Michigan | MEDICAID | 114794021 | BC/BS OF MICHIGAN |
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