Organization Name: | DR. MARC S. GOTTLIEB, P.C. |
NPI Number: | 1144276163 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARC S GOTTLIEB (PRESIDENT) |
Mailing Address: | 9380 Falls Of Neuse Rd Suite 101 Raleigh |
State: | NC US |
Postal Code: | 276152412 |
Phone Number: | 9198709500 |
Fax Number: | 9198709502 |
NPI Enumeration Date: | 05/25/2006 |
NPI Last Update Date: | 08/02/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 2081 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |