Goldstone, Jerry
Goldstone, Jerry is an individual health care provider with primary practice located at 11100 Euclid Ave , Cleveland OH 44106-1716. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Goldstone, Jerry can be contacted via phone (216) 844-3013.Contact Information
Primary practice address
11100 Euclid Ave
Cleveland OH 44106-1716
Phone: (216) 844-3013
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 35-076513 | Ohio |
Profile Details
| NPI number | 1851325724 |
|---|---|
| LBN Legal business name | Goldstone, Jerry |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 10th, 2006 |
| Last updated | Jun 30th, 2011 - about 15 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 | 1851325724 | NPPES |
| Ohio | Other | 363568 | WELLCARE |
| Ohio | Other | P00385110 | WELLCARE |
| Ohio | Other | 4419730 | WELLCARE |
| Ohio | MEDICAID | 2132801 | WELLCARE |
| Ohio | Other | P00216359 | WELLCARE |
| Ohio | Other | 000000221401 | WELLCARE |
| Ohio | Other | 745999 | WELLCARE |
| Ohio | Other | 000000503634 | WELLCARE |
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