Gottlieb, Marc E
Gottlieb, Marc E is an individual health care provider with primary practice located at 1012 E Willetta Street , Phoenix AZ 85006. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as his primary health care specialty. Gottlieb, Marc E can be contacted via phone (602) 839-6040.Contact Information
Primary practice address
1012 E Willetta Street
Phoenix AZ 85006
Phone: (602) 839-6040
Fax: (602) 839-4375
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | 20039 | Arizona |
Profile Details
| NPI number | 1275521635 |
|---|---|
| LBN Legal business name | Gottlieb, Marc E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 10th, 2005 |
| Last updated | Jul 1st, 2016 - about 9 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 | 1275521635 | NPPES |
| Arizona | MEDICAID | 053025 |
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