Caldwell, Gordon Thompson

Caldwell, Gordon Thompson is an individual health care provider with primary practice located at 77 Bates St Suite 102, Lewiston ME 04240-7637. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Caldwell, Gordon Thompson can be contacted via phone (207) 783-2300.

Contact Information

Primary practice address
77 Bates St Suite 102 Lewiston ME 04240-7637
Fax: (207) 783-2439
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X 012721 Maine

Profile Details

NPI number 1376510057
LBN Legal business name Caldwell, Gordon Thompson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2006
Last updated Apr 28th, 2011 - 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 1376510057 NPPES
Other 030495 BCBS
Other 010424957 BCBS
Other M52001 BCBS
Other E19633 BCBS
Other 010424957 BCBS
Other 010424957 BCBS
Other 2075723 BCBS
Other 25012128 BCBS
MEDICAID 272410099 BCBS
Other 010424957 BCBS

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