Gordan, Patrick Livius
Gordan, Patrick Livius is an individual health care provider with primary practice located at 81 Highland Ave , Salem MA 01970-2714. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Gordan, Patrick Livius can be contacted via phone (978) 354-2405.Contact Information
Primary practice address
81 Highland Ave
Salem MA 01970-2714
Phone: (978) 354-2405
Fax: (978) 825-6312
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 217197 | Massachusetts |
Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 217197 | Massachusetts |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 217197 | Massachusetts |
Profile Details
NPI number | 1043297070 |
---|---|
LBN Legal business name | Gordan, Patrick Livius |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 30th, 2005 |
Last updated | May 13th, 2019 - about 5 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 | 1043297070 | NPPES |
Massachusetts | MEDICAID | 2016761 |
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