Gordon, Barry Hale
Gordon, Barry Hale is an sole proprietor health care provider with primary practice located at 3601 Green Rd Suite 200, Beachwood OH 44122-5725. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Gordon, Barry Hale can be contacted via phone (440) 886-9655.Contact Information
Primary practice address
3601 Green Rd Suite 200
Beachwood OH 44122-5725
Phone: (440) 886-9655
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 2806 | Ohio |
Profile Details
| NPI number | 1407815178 |
|---|---|
| LBN Legal business name | Gordon, Barry Hale |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 21st, 2006 |
| Last updated | Jul 8th, 2007 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407815178 | NPPES |
| Ohio | Other | 000000136466 | ANTHEM |
| Ohio | Other | 265233 | ANTHEM |
| Ohio | Other | 4092054 | ANTHEM |
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