Carnes, B. Gordon

Carnes, B. Gordon is an individual health care provider with primary practice located at Bld 301 Andrews Ave , Fort Rucker AL 36362-5333. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Carnes, B. Gordon can be contacted via phone (334) 255-7363.

Contact Information

Primary practice address
Bld 301 Andrews Ave Fort Rucker AL 36362-5333
Phone: (334) 255-7363
Fax: (334) 255-7368
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 28806 Kentucky

Profile Details

NPI number 1811943970
LBN Legal business name Carnes, B. Gordon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2006
Last updated Nov 7th, 2012 - about 12 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 1811943970 NPPES
Kentucky MEDICAID 64255557

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