Gidman, Gordon Gregory

Gidman, Gordon Gregory is an individual health care provider with primary practice located at 204 Energy Pkwy Suite B, Lafayette LA 70508-3816. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Gidman, Gordon Gregory can be contacted via phone (337) 269-0136.

Contact Information

Primary practice address
204 Energy Pkwy Suite B Lafayette LA 70508-3816
Phone: (337) 269-0136
Fax: (337) 233-8525
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 012306 Louisiana

Profile Details

NPI number 1437286085
LBN Legal business name Gidman, Gordon Gregory
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2007
Last updated Aug 27th, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437286085 NPPES
Louisiana Other 5M407DC78 GROUP MEMBER PTAN
Louisiana Other 5DC78 GROUP MEMBER PTAN

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