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
Phone: (206) 320-2580
Fax: (206) 320-4073
Website:
Health care specialties
| Specialty | Code | License # | 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 5 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 | 1992883847 | NPPES |
| Washington | MEDICAID | 1992883847 |
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