Jack Goldman is a Specialist in Auburn, Washington. Jack Goldman practices all healthcare services and medical treatments related to Specialist. The NPI Number for Jack Goldman is 1023065539. The last update date is 2018-01-24.
Jack Goldman's current location address is 101 2nd St Ne, Auburn, Washington. You can contact this provider via phone number 2538333650. The mailing address for Jack Goldman is 101 2nd St Ne, Auburn, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack Goldman |
|---|---|
| Address | 101 2nd St Ne, Auburn, Washington |
| Phone Number | 2538333650 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1023065539 |
|---|---|
| Provider Enumeration Date | 2006-05-28 |
| Last Updated Date | 2018-01-24 |
Provider Mailing Address Detail
| Address | 101 2nd St Ne |
|---|---|
| City | Auburn |
| State | Washington (WA) |
| Post Code | 980024902 |
| Phone Number | 2538333650 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | MD00017877 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1730100 | WA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Jack Goldman by the Centers for Medicare & Medicaid Services?
The Jack Goldman has been issued the NPI (National Provider Identifier) 1023065539. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Jack Goldman is located?
The Jack Goldman is situated at the following address: 101 2Nd St Ne, Auburn, WA, 980024902.
What is the Jack Goldman's area of specialization and corresponding taxonomy classification?
The Jack Goldman's specialty field is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their specialties.
When did Jack Goldman receive its 1023065539 assignment?
The Jack Goldman was assigned its 1023065539 on 2006-05-28, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Jack Goldman most recently updated or revised?
The details related to Jack Goldman, including its address, specialty, and other relevant information, were last updated or revised on 2018-01-24.