Gordon, David Michael

Gordon, David Michael is an individual health care provider with primary practice located at 350 Parnassus Ave Suite 404, San Francisco CA 94117-3608. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as his primary health care specialty. Gordon, David Michael can be contacted via phone (415) 353-4597.

Contact Information

Primary practice address
350 Parnassus Ave Suite 404 San Francisco CA 94117-3608
Phone: (415) 353-4597
Fax: (415) 353-9333
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X COA.10630-NP Ohio
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 364SA2200X 20565 California

Profile Details

NPI number 1043445349
LBN Legal business name Gordon, David Michael
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2009
Last updated Nov 17th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043445349 NPPES
Ohio MEDICAID 2960498
Ohio Other P00729445

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