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:
Health care specialties
| Specialty | Code | License # | 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 9 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 | 1609985530 | NPPES |
| Nevada | MEDICAID | 002002564 |
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