Gordon, Amy Nicquel
Gordon, Amy Nicquel is an individual health care provider with primary practice located at 118 Women'S Center Lane Suite B, Hot Springs AR 71913. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Gordon, Amy Nicquel can be contacted via phone (501) 321-2229.Contact Information
Primary practice address
118 Women'S Center Lane Suite B
Hot Springs AR 71913
Phone: (501) 321-2229
Fax: (501) 609-2342
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | E4011 | Arkansas |
Profile Details
| NPI number | 1629062922 |
|---|---|
| LBN Legal business name | Gordon, Amy Nicquel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 1st, 2005 |
| Last updated | Jun 28th, 2016 - about 8 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 | 1629062922 | NPPES |
| Arkansas | MEDICAID | 152958001 |
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