Gottlieb, Bevan
Gottlieb, Bevan is an sole proprietor health care provider with primary practice located at 115 E Goodwin St Suite C, Prescott AZ 86303-3926. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Gottlieb, Bevan can be contacted via phone (928) 533-2411.Contact Information
Primary practice address
115 E Goodwin St Suite C
Prescott AZ 86303-3926
Phone: (928) 533-2411
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 10822 | Arizona |
Profile Details
| NPI number | 1144643628 |
|---|---|
| LBN Legal business name | Gottlieb, Bevan |
| Credentials | LISAC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 4th, 2014 |
| Last updated | Feb 4th, 2014 - about 10 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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