Provider Demographics
NPI:1861463515
Name:DONALD D GOLOBEK DO
Entity Type:Organization
Organization Name:DONALD D GOLOBEK DO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:GOLOBEK
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:570-724-2325
Mailing Address - Street 1:9 WATER ST
Mailing Address - Street 2:
Mailing Address - City:WELLSBORO
Mailing Address - State:PA
Mailing Address - Zip Code:16901-1117
Mailing Address - Country:US
Mailing Address - Phone:570-724-2325
Mailing Address - Fax:570-724-5855
Practice Address - Street 1:9 WATER ST
Practice Address - Street 2:
Practice Address - City:WELLSBORO
Practice Address - State:PA
Practice Address - Zip Code:16901-1117
Practice Address - Country:US
Practice Address - Phone:570-724-2325
Practice Address - Fax:570-724-5855
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-31
Last Update Date:2007-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1382434OtherHIMARK BS
1382434OtherHIMARK BS