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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932151644 NPPES
Delaware MEDICAID 0000055401
Delaware Other 180018339

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