Gordon, Bret S
Gordon, Bret S is an sole proprietor health care provider with primary practice located at 12330 Metcalf Ave Ste 420, Overland Park KS 66213-1324. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Gordon, Bret S can be contacted via phone (913) 323-9000.Contact Information
Primary practice address
12330 Metcalf Ave Ste 420
Overland Park KS 66213-1324
Phone: (913) 323-9000
Fax: (913) 323-9001
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 2001015997 | Missouri |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 0530651 | Kansas |
Profile Details
| NPI number | 1972507366 |
|---|---|
| LBN Legal business name | Gordon, Bret S |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 13th, 2005 |
| Last updated | Feb 27th, 2018 - about 6 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 | 1972507366 | NPPES |
| Missouri | MEDICAID | 209093103 |
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