Gottlieb, Richard T

Gottlieb, Richard T is an sole proprietor health care provider with primary practice located at 15615 N 71St Street Suite 108, Scottsdale AZ 85254. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Gottlieb, Richard T can be contacted via phone (602) 494-8105.

Contact Information

Primary practice address
15615 N 71St Street Suite 108 Scottsdale AZ 85254
Fax: (602) 494-8108
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 16089 Arizona
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X G51369 California

Profile Details

NPI number 1205891413
LBN Legal business name Gottlieb, Richard T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 19th, 2006
Last updated Dec 23rd, 2009 - about 17 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 1205891413 NPPES
Arizona Other AZ0390690 BLUE CROSS / BLUE SHIELD
Arizona Other 42730 BLUE CROSS / BLUE SHIELD
Arizona Other 38334430 BLUE CROSS / BLUE SHIELD

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