Birk, Gordon Troy
Birk, Gordon Troy is an sole proprietor health care provider with primary practice located at 1900 Malvern Ave Suite 301, Hot Springs AR 71901-7759. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Birk, Gordon Troy can be contacted via phone (501) 321-0555.Contact Information
Primary practice address
1900 Malvern Ave Suite 301
Hot Springs AR 71901-7759
Phone: (501) 321-0555
Fax: (501) 623-1521
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 25289 | Alabama |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | E5044 | Arkansas |
Profile Details
| NPI number | 1134238793 |
|---|---|
| LBN Legal business name | Birk, Gordon Troy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 29th, 2006 |
| Last updated | Oct 20th, 2020 - about 5 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 | 1134238793 | NPPES |
| Arkansas | MEDICAID | 163783001 |
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