Chrisanne Gordon, Md

LBN: Chrisanne Gordon, Md
Chrisanne Gordon, Md is an health care organization with primary practice located at 500 London Avenue , Marysville OH 43040. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, which is considered as the primary health care specialty. Chrisanne Gordon, Md can be contacted via phone (937) 578-2255, or through Gordon, Chrisanne via phone (937) 578-2255.

Contact Information

Primary practice address
500 London Avenue Marysville OH 43040
Phone: (937) 578-2255
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gordon, Chrisanne Doctor of Medicine (MD)
Phone: (937) 578-2255

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation 261QR0400X 35042915 Ohio

Profile Details

NPI number 1962896969
LBN Legal business name Chrisanne Gordon, Md
DBA Doing business as
Authorized official Gordon, Chrisanne Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 27th, 2015
Last updated Mar 27th, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962896969 NPPES
Ohio MEDICAID 0707328

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