Gordon, David S
Gordon, David S is an individual health care provider with primary practice located at 217 S Madison Street , Traverse City MI 49684-2320. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Gordon, David S can be contacted via phone (231) 392-8400.Contact Information
Primary practice address
217 S Madison Street
Traverse City MI 49684-2320
Phone: (231) 392-8400
Fax: (231) 935-7888
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 4301079204 | Michigan |
Profile Details
| NPI number | 1477519940 |
|---|---|
| LBN Legal business name | Gordon, David S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 25th, 2006 |
| Last updated | Mar 16th, 2021 - about 3 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 | 1477519940 | NPPES |
| Michigan | MEDICAID | 4388739 |
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