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:
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Health care specialties

SpecialtyCodeLicense #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 10 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 1275521635 NPPES
Arizona MEDICAID 053025

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