DR. JILL SUSAN GOLDBERG D.C. NPI 1801935689

NPI Information

NPI: 1801935689
Provider Name: DR. JILL SUSAN GOLDBERG, D.C.
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
535 PONTIUS AVE N
SUITE 124
SEATTLE, WA
ZIP 98109
Phone: (206) 405-3333
Get Directions

DR. Jill Susan Goldberg, D.C. is a chiropractor in Seattle, WA. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. DR. Jill Susan Goldberg, D.C. NPI is 1801935689. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

535 PONTIUS AVE N
SUITE 124
SEATTLE, WA
ZIP 98109-547
Phone: (206) 405-3333

The enumeration date for this NPI number is 2/6/2007 and was last updated on 5/23/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	111N00000X	Chiropractor	2013	MASSACHUSETTS	No
2	111N00000X	Chiropractor	01700	MARYLAND	No
3	111N00000X	Chiropractor	011513-1	NEW YORK	No
4	111N00000X	Chiropractor	CH00033732	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	U75114	MEDICARE UPIN
2	Y45244	MEDICARE ID-TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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