Beardwood, Gordon Alan

Beardwood, Gordon Alan is an individual health care provider with primary practice located at 7235 Ohms Ln , Edina MN 55439-2148. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Beardwood, Gordon Alan can be contacted via phone (952) 841-2345.

Contact Information

Primary practice address
7235 Ohms Ln Edina MN 55439-2148
Phone: (952) 841-2345
Fax: (952) 841-2346
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X N3489 Texas
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 49423 Wisconsin
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 60395 Minnesota

Profile Details

NPI number 1316938038
LBN Legal business name Beardwood, Gordon Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
Last updated Sep 18th, 2018 - about 6 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 1316938038 NPPES
Iowa MEDICAID 1316938038

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