Gordon, Douglas A.

Gordon, Douglas A. is an individual health care provider with primary practice located at 7677 Yankee St Suite 110, Dayton OH 45459-3475. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hand Surgery, which is considered as his primary health care specialty. Gordon, Douglas A. can be contacted via phone (937) 415-9100.

Contact Information

Primary practice address
7677 Yankee St Suite 110 Dayton OH 45459-3475
Phone: (937) 415-9100
Fax: (937) 415-9191
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X 35-05-6322-G Ohio

Profile Details

NPI number 1184688145
LBN Legal business name Gordon, Douglas A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2006
Last updated Mar 16th, 2012 - about 12 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 1184688145 NPPES
Ohio MEDICAID 0725933
Ohio Other P00356846

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