Alexander, Gordon M

Alexander, Gordon M is an individual health care provider with primary practice located at 200 Medical Park Blvd , Petersburg VA 23805-9274. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Alexander, Gordon M can be contacted via phone (804) 765-5000.

Contact Information

Primary practice address
200 Medical Park Blvd Petersburg VA 23805-9274
Phone: (804) 765-5000
Fax: (804) 765-5948
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0101055246 Virginia
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 0101055246 Virginia

Profile Details

NPI number 1801895354
LBN Legal business name Alexander, Gordon M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2005
Last updated Apr 22nd, 2011 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801895354 NPPES
Virginia MEDICAID 010159750
Virginia Other 175992

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