Gottlieb, Steven Jeffrey
Gottlieb, Steven Jeffrey is an sole proprietor health care provider with primary practice located at 1272 Virgil Langford Rd Ste 202, Watkinsville GA 30677. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy, which is considered as his primary health care specialty. Gottlieb, Steven Jeffrey can be contacted via phone (770) 953-3331.Contact Information
Primary practice address
1272 Virgil Langford Rd Ste 202
Watkinsville GA 30677
Phone: (770) 953-3331
Fax: (678) 744-0260
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy | 207KA0200X | 0361 | South Carolina |
Profile Details
| NPI number | 1023050143 |
|---|---|
| LBN Legal business name | Gottlieb, Steven Jeffrey |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 12th, 2006 |
| Last updated | Mar 28th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023050143 | NPPES |
| Georgia | MEDICAID | 003261026A | |
| Georgia | MEDICAID | TL0595 |
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