Fine, Perry Gordon
Fine, Perry Gordon is an individual health care provider with primary practice located at 50 N Medical Dr , Salt Lake City UT 84132-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Fine, Perry Gordon can be contacted via phone (801) 581-6393.Contact Information
Primary practice address
50 N Medical Dr
Salt Lake City UT 84132-0001
Phone: (801) 581-6393
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 168895-1205 | Utah |
Profile Details
NPI number | 1861582462 |
---|---|
LBN Legal business name | Fine, Perry Gordon |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 13th, 2006 |
Last updated | Oct 27th, 2021 - about 3 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 | 1861582462 | NPPES |
Utah | Other | 050004375 | RAILROAD MEDICARE |
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