Craig J Gordon Do

LBN: Clinical Oncology Associates
Craig J Gordon Do is an health care organization with primary practice located at 30160 Orchard Lake Rd Ste 100, Farmington Hills MI 48334-2293. The organization recently has only one registered license in Suppliers / Non-Pharmacy Dispensing Site, which is considered as the primary health care specialty. Clinical Oncology Associates can be contacted via phone (248) 538-1000, or through Mcneilance, Deborah via phone (248) 538-9186.

Contact Information

Primary practice address
30160 Orchard Lake Rd Ste 100 Farmington Hills MI 48334-2293
Fax: (248) 538-9000
Website:
Authorized official contact:
Name: Mcneilance, Deborah

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Non-Pharmacy Dispensing Site 332900000X 5101008584 Michigan

Profile Details

NPI number 1336246263
LBN Legal business name Clinical Oncology Associates
DBA Doing business as Craig J Gordon Do
Authorized official Mcneilance, Deborah
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2006
Last updated Aug 22nd, 2020 - about 4 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 1336246263 NPPES
Other 2368757 OTHER ID NUMBER-COMMERCIAL NUMBER
MEDICAID 3404140 OTHER ID NUMBER-COMMERCIAL NUMBER

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