Gordon, Craig J

Gordon, Craig J is an individual health care provider with primary practice located at 30160 Orchard Lake Rd Ste 100 , Farmington Hills MI 48334-2254. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Gordon, Craig J can be contacted via phone (248) 522-0222.

Contact Information

Primary practice address
30160 Orchard Lake Rd Ste 100 Farmington Hills MI 48334-2254
Fax: (248) 522-0225
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 5101008584 Michigan

Profile Details

NPI number 1659368058
LBN Legal business name Gordon, Craig J
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2005
Last updated Oct 29th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1659368058 NPPES
Michigan Other 137130 CARE CHOICES
Michigan Other 4559260 CARE CHOICES
Michigan Other F02038 CARE CHOICES
Michigan Other 115532 CARE CHOICES
Michigan MEDICAID 3404140 CARE CHOICES
Michigan Other 1156304464 CARE CHOICES

Popular Providers