Gotlib, Michael H

Gotlib, Michael H is an individual health care provider with primary practice located at 2830 Corunna Rd , Flint MI 48503-3254. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Gotlib, Michael H can be contacted via phone (810) 235-6812.

Contact Information

Primary practice address
2830 Corunna Rd Flint MI 48503-3254
Fax: (810) 234-7022
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 4301035009 Michigan

Profile Details

NPI number 1588600886
LBN Legal business name Gotlib, Michael H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated Mar 30th, 2009 - about 15 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 1588600886 NPPES
Michigan MEDICAID 4671353 10
Michigan MEDICAID 4671335 10
Michigan MEDICAID 4671291 10
Michigan MEDICAID 4773694 10

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