Ekuban-Gordon, Edna E

Ekuban-Gordon, Edna E is an individual health care provider with primary practice located at 320 Hospital Dr Emergency Dept., Martinsville VA 24112-1900. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Ekuban-Gordon, Edna E can be contacted via phone (276) 666-7237.

Contact Information

Primary practice address
320 Hospital Dr Emergency Dept. Martinsville VA 24112-1900
Fax: (276) 666-7600
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 0101221386 Virginia

Profile Details

NPI number 1033143466
LBN Legal business name Ekuban-Gordon, Edna E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Aug 28th, 2008 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033143466 NPPES
Virginia MEDICAID 005826900

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