Dorward, Ian Gordon

Dorward, Ian Gordon is an individual health care provider with primary practice located at 100 Entrance Way Dept Neurological Surgery, Ste B, Saint Peters MO 63376-1645. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, Allopathic & Osteopathic Physicians / Neurological Surgery. Allopathic & Osteopathic Physicians / Neurological Surgery is his primary health care specialty. Dorward, Ian Gordon can be contacted via phone (636) 916-7140.

Contact Information

Primary practice address
100 Entrance Way Dept Neurological Surgery, Ste B Saint Peters MO 63376-1645
Phone: (636) 916-7140
Fax: (636) 916-7139
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X 2010003191 Missouri
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 2010003191 Missouri

Profile Details

NPI number 1841417896
LBN Legal business name Dorward, Ian Gordon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2007
Last updated Apr 25th, 2024 - about 7 months 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 1841417896 NPPES
Missouri MEDICAID 200008324

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