Gordon, Alice W

Gordon, Alice W is an individual health care provider with primary practice located at 1 Park West Blvd Suite 200, Akron OH 44320-4218. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Gordon, Alice W can be contacted via phone (330) 869-9777.

Contact Information

Primary practice address
1 Park West Blvd Suite 200 Akron OH 44320-4218
Phone: (330) 869-9777
Fax: (330) 869-0052
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X NM00314 Ohio

Profile Details

NPI number 1306894043
LBN Legal business name Gordon, Alice W
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Nov 18th, 2009 - 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 1306894043 NPPES
Ohio MEDICAID 0804982

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