Gottlieb, Jamie Eden

Gottlieb, Jamie Eden is an individual health care provider with primary practice located at 6121 Hwy 161 Suite 225, Irving TX 75038. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, which is considered as his primary health care specialty. Gottlieb, Jamie Eden can be contacted via phone (469) 528-1169.

Contact Information

Primary practice address
6121 Hwy 161 Suite 225 Irving TX 75038
Phone: (469) 528-1169
Fax: (877) 319-1790
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X 01059066A Indiana
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X K9790 Texas

Profile Details

NPI number 1811979842
LBN Legal business name Gottlieb, Jamie Eden
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2005
Last updated Oct 3rd, 2022 - about 2 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 1811979842 NPPES
Indiana Other 000000567134 ANTHEM BCBS

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