Cramolini, Gordon Mark
Cramolini, Gordon Mark is an individual health care provider with primary practice located at 2018 Clinch Avenue , Knoxville TN 37916-2301. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Anesthesiology, which is considered as his primary health care specialty. Cramolini, Gordon Mark can be contacted via phone (865) 541-8485.Contact Information
Primary practice address
2018 Clinch Avenue
Knoxville TN 37916-2301
Phone: (865) 541-8485
Fax: (865) 541-8727
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Anesthesiology | 207LP3000X | 28168 | Tennessee |
Profile Details
| NPI number | 1760493860 |
|---|---|
| LBN Legal business name | Cramolini, Gordon Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 11th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760493860 | NPPES |
| Tennessee | Other | 3038640 | BLUECARE |
| Tennessee | Other | 3038640 | BLUECARE |
| Tennessee | MEDICAID | 3803801 | BLUECARE |
| Tennessee | Other | 3038640 | BLUECARE |
| Tennessee | MEDICAID | 64925308 | BLUECARE |
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