Goulder, Steven Jay

Goulder, Steven Jay is an individual health care provider with primary practice located at 500 E Ogden Ave 200, Hinsdale IL 60521-2469. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is his primary health care specialty. Goulder, Steven Jay can be contacted via phone (630) 325-6647.

Contact Information

Primary practice address
500 E Ogden Ave 200 Hinsdale IL 60521-2469
Phone: (630) 325-6647
Fax: (630) 325-4500
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 036-108689 Illinois
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X 036-108689 Illinois

Profile Details

NPI number 1770560831
LBN Legal business name Goulder, Steven Jay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2005
Last updated Sep 12th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770560831 NPPES
Illinois Other K09943 MEDICARE
Illinois MEDICAID 36108689 MEDICARE

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