Gottesman, Eleanor J

Gottesman, Eleanor J is an individual health care provider with primary practice located at 2816 E 116Th St Metrohealth Buckeye Health Center, Cleveland OH 44120-2111. She recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as her primary health care specialty. Gottesman, Eleanor J can be contacted via phone (216) 957-4000.

Contact Information

Primary practice address
2816 E 116Th St Metrohealth Buckeye Health Center Cleveland OH 44120-2111
Phone: (216) 957-4000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 35051927 Ohio

Profile Details

NPI number 1588672265
LBN Legal business name Gottesman, Eleanor J
Credentials MD, MPA
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2006
Last updated Oct 30th, 2012 - about 12 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 1588672265 NPPES
Ohio MEDICAID 0826888
Ohio Other 3034625100

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