Gottlieb, Viktor
Gottlieb, Viktor is an sole proprietor health care provider with primary practice located at 6743 W Greenfield Ave , West Allis WI 53214-4966. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Gottlieb, Viktor can be contacted via phone (414) 381-1990.Contact Information
Primary practice address
6743 W Greenfield Ave
West Allis WI 53214-4966
Phone: (414) 381-1990
Fax: (414) 381-1991
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 14717-24 | Wisconsin |
Profile Details
| NPI number | 1558929638 |
|---|---|
| LBN Legal business name | Gottlieb, Viktor |
| Credentials | DPT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 3rd, 2019 |
| Last updated | Mar 7th, 2024 - 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 | 1558929638 | NPPES |
| Wisconsin | Other | 14717-24 | STATE LICENSE |
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