Gottlieb, Jourdan R

Gottlieb, Jourdan R is an individual health care provider with primary practice located at 500 17Th Ave , Seattle WA 98122-5711. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery is his primary health care specialty. Gottlieb, Jourdan R can be contacted via phone (206) 320-2580.

Contact Information

Primary practice address
500 17Th Ave Seattle WA 98122-5711
Fax: (206) 320-4073
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD00023270 Washington
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X MD00023270 Washington

Profile Details

NPI number 1992883847
LBN Legal business name Gottlieb, Jourdan R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Jan 6th, 2020 - about 4 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 1992883847 NPPES
Washington MEDICAID 1992883847

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