Gordon, Cecilia Bernadette
Gordon, Cecilia Bernadette is an individual health care provider with primary practice located at 212 S Salem St , Apex NC 27502-1825. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Gordon, Cecilia Bernadette can be contacted via phone (919) 362-5201.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | OS9461 | Florida |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 200301233 | North Carolina |
Profile Details
| NPI number | 1356401749 |
|---|---|
| LBN Legal business name | Gordon, Cecilia Bernadette |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 8th, 2006 |
| Last updated | Sep 28th, 2011 - about 13 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 | 1356401749 | NPPES |
| Florida | Other | OS9461 | MEDICAL LICENSE |
| Florida | MEDICAID | 89135MO | MEDICAL LICENSE |
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