Early, Ira Gordon
Early, Ira Gordon is an sole proprietor health care provider with primary practice located at 1241 Boiling Springs Rd , Spartanburg SC 29303-2258. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Medical Toxicology, Allopathic & Osteopathic Physicians / Preventive Medicine/Occupational Environmental Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Early, Ira Gordon can be contacted via phone (864) 591-0992.Contact Information
Primary practice address
1241 Boiling Springs Rd
Spartanburg SC 29303-2258
Phone: (864) 591-0992
Fax: (864) 591-0776
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 18944 | South Carolina |
| Allopathic & Osteopathic Physicians / Medical Toxicology | 2083T0002X | 18944 | South Carolina |
| Allopathic & Osteopathic Physicians / Preventive Medicine/Occupational Environmental Medicine | 2083P0500X | 18944 | South Carolina |
Profile Details
| NPI number | 1144218876 |
|---|---|
| LBN Legal business name | Early, Ira Gordon |
| Credentials | M.D., M.P.H. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 6th, 2005 |
| Last updated | Feb 26th, 2013 - about 11 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 | 1144218876 | NPPES |
| South Carolina | Other | DC0005 | MEDICARE RAILROAD GROUP |
| South Carolina | MEDICAID | T29993 | MEDICARE RAILROAD GROUP |
| South Carolina | Other | P00141794 | MEDICARE RAILROAD GROUP |
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