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Contact Information

DONALD C. HARTLIEB M.D. LTD
10521 JEFFREYS ST
SUIT 220
HENDERSON, NV89052-4180
 Phone: 702-733-8871
 Fax: 702-733-2177
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Preferred Provider Organization

305R00000X
Indicates primary specialty

NPI Profile & details for DONALD C. HARTLIEB M.D. LTD

NPI Number 1194915785
LBN Legal business name DONALD C. HARTLIEB M.D. LTD
Authorized official TRICIA MALDONADO - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/30/2007
Last updated 05/10/2013 - About 13 years ago
Identifiers
NV License # 5104
NV Medicaid 002002564
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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