Gottlieb, Herman

Gottlieb, Herman is an individual health care provider with primary practice located at 6557 Roosevelt Blvd , Phila PA 19149-2918. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gottlieb, Herman can be contacted via phone (215) 535-1900.

Contact Information

Primary practice address
6557 Roosevelt Blvd Phila PA 19149-2918
Fax: (215) 535-7950
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS-001848-L Pennsylvania

Profile Details

NPI number 1275573438
LBN Legal business name Gottlieb, Herman
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Jul 18th, 2011 - about 14 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 1275573438 NPPES
Pennsylvania MEDICAID 0160469801
Pennsylvania Other 597586

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