Air, Gordon W
Air, Gordon W is an individual health care provider with primary practice located at 560 South Loop Rd , Edgewood KY 41017-3454. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Air, Gordon W can be contacted via phone (859) 301-2663.Contact Information
Primary practice address
560 South Loop Rd
Edgewood KY 41017-3454
Phone: (859) 301-2663
Fax: (859) 301-0655
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 15743 | Kentucky |
Profile Details
| NPI number | 1689676843 |
|---|---|
| LBN Legal business name | Air, Gordon W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2005 |
| Last updated | Mar 25th, 2008 - about 16 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 | 1689676843 | NPPES |
| Kentucky | Other | 000000249588 | ANTHEM |
| Kentucky | Other | 0428850004 | ANTHEM |
| Kentucky | Other | 90008962 | ANTHEM |
| Kentucky | MEDICAID | 64157431 | ANTHEM |
| Kentucky | Other | CB8861 | ANTHEM |
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