Gordon, Chad R.
Gordon, Chad R. is an sole proprietor health care provider with primary practice located at Department Of Plastic Surgery Johns Hopkins Jhoc #8152F, 601 N. Caroline Street, Baltimore MD 21287-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Gordon, Chad R. can be contacted via phone (443) 287-6425.Contact Information
Primary practice address
Department Of Plastic Surgery Johns Hopkins Jhoc #8152F, 601 N. Caroline Street
Baltimore MD 21287-0001
Phone: (443) 287-6425
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | 242456 | Massachusetts |
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | H72202 | Maryland |
Profile Details
| NPI number | 1952583932 |
|---|---|
| LBN Legal business name | Gordon, Chad R. |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 30th, 2007 |
| Last updated | Oct 11th, 2019 - about 5 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 | 1952583932 | NPPES |
| Maryland | MEDICAID | 52189 | |
| Maryland | Other | MB07654400 | |
| Maryland | Other | 242456 |
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