Hartlieb, Donald Carson

Hartlieb, Donald Carson is an sole proprietor health care provider with primary practice located at 10521 Jeffreys St Suite 220, Henderson NV 89052-4180. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Hartlieb, Donald Carson can be contacted via phone (702) 733-8871.

Contact Information

Primary practice address
10521 Jeffreys St Suite 220 Henderson NV 89052-4180
Phone: (702) 733-8871
Fax: (702) 733-2177
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 5104 Nevada

Profile Details

NPI number 1609985530
LBN Legal business name Hartlieb, Donald Carson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2006
Last updated Apr 5th, 2017 - about 8 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 1609985530 NPPES
Nevada MEDICAID 002002564

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