Baskin, Gordon St Clair
Baskin, Gordon St Clair is an individual health care provider with primary practice located at 1050 Se Monterey Rd Suite 204, Stuart FL 34994-4512. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Baskin, Gordon St Clair can be contacted via phone (772) 781-5960.Contact Information
Primary practice address
1050 Se Monterey Rd Suite 204
Stuart FL 34994-4512
Phone: (772) 781-5960
Fax: (772) 419-0190
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | ME045009 | Florida |
Profile Details
NPI number | 1912972647 |
---|---|
LBN Legal business name | Baskin, Gordon St Clair |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 17th, 2006 |
Last updated | May 20th, 2014 - about 10 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 | 1912972647 | NPPES |
Florida | MEDICAID | 264953500 |
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