Gothelf, David S

Gothelf, David S is an individual health care provider with primary practice located at 100 N Green Valley Pkwy Suite 210, Henderson NV 89074-6391. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gothelf, David S can be contacted via phone (702) 269-9995.

Contact Information

Primary practice address
100 N Green Valley Pkwy Suite 210 Henderson NV 89074-6391
Phone: (702) 269-9995
Fax: (702) 944-4056
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X D0479 Nevada

Profile Details

NPI number 1023057296
LBN Legal business name Gothelf, David S
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated May 16th, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023057296 NPPES
Nevada Other 479 STATE LICENSE
Nevada MEDICAID 1023057296 STATE LICENSE
Nevada MEDICAID 002019093 STATE LICENSE

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