Gottesman, Max D
Gottesman, Max D is an individual health care provider with primary practice located at 6523 Telegraph Rd , Bloomfield Hills MI 48301-3066. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Gottesman, Max D can be contacted via phone (248) 593-9955.Contact Information
Primary practice address
6523 Telegraph Rd
Bloomfield Hills MI 48301-3066
Phone: (248) 593-9955
Fax: (248) 593-9966
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 4901002384 | Michigan |
Profile Details
| NPI number | 1972581551 |
|---|---|
| LBN Legal business name | Gottesman, Max D |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 4th, 2006 |
| Last updated | May 16th, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972581551 | NPPES |
| Michigan | MEDICAID | 2721213 | |
| Michigan | MEDICAID | 2721222 | |
| Michigan | Other | MG002384 | |
| Michigan | MEDICAID | 1972581551 | |
| Michigan | Other | 0F37720 |
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