Bussard, Gordon A
Bussard, Gordon A is an individual health care provider with primary practice located at 3501 Silverside Road , Wilmington DE 19810-4910. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Bussard, Gordon A can be contacted via phone (302) 479-3937.Contact Information
Primary practice address
3501 Silverside Road
Wilmington DE 19810-4910
Phone: (302) 479-3937
Fax: (302) 477-2650
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | C10000625 | Delaware |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | C1-0000625 | Delaware |
Profile Details
| NPI number | 1932151644 |
|---|---|
| LBN Legal business name | Bussard, Gordon A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2006 |
| Last updated | Apr 19th, 2010 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932151644 | NPPES |
| Delaware | MEDICAID | 0000055401 | |
| Delaware | Other | 180018339 |
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