Gottlieb, Judith B.

Gottlieb, Judith B. is an individual health care provider with primary practice located at 280 W Macarthur Blvd , Oakland CA 94611-5642. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Gottlieb, Judith B. can be contacted via phone (510) 752-7667.

Contact Information

Primary practice address
280 W Macarthur Blvd Oakland CA 94611-5642
Phone: (510) 752-7667
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 309334 California
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X 309334 California

Profile Details

NPI number 1376539148
LBN Legal business name Gottlieb, Judith B.
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2005
Last updated Jul 8th, 2007 - about 17 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 1376539148 NPPES
California Other 309334 RN LICENSE NUMBER
California Other 3903 RN LICENSE NUMBER

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