Gordon, Bernard J.
Gordon, Bernard J. is an sole proprietor health care provider with primary practice located at 145 Newbury St , Portland ME 04101-4261. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Gordon, Bernard J. can be contacted via phone (207) 772-5400.Contact Information
Primary practice address
145 Newbury St
Portland ME 04101-4261
Phone: (207) 772-5400
Fax: (207) 772-5402
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | MD11839 | Maine |
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | MD11839 | Maine |
Profile Details
| NPI number | 1609980515 |
|---|---|
| LBN Legal business name | Gordon, Bernard J. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 18th, 2006 |
| Last updated | Jul 13th, 2015 - about 9 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 | 1609980515 | NPPES |
| Maine | Other | 022314 | ANTHEM BLUE CROSS |
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