Individual
JASON GOLDSCHMIDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
9505 HACKER FARM LN, DAYTON, OH 45458-5321
(937) 414-9088
Mailing address
9505 HACKER FARM LN, DAYTON, OH 45458-5321
(937) 414-9088
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.426796
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1973
ME
OH
Enumeration date
03/01/2021
Last updated
03/01/2021
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