Gordon, Eric Houston
Gordon, Eric Houston is an individual health care provider with primary practice located at 800 Fair Park Blvd , Little Rock AR 72204. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Gordon, Eric Houston can be contacted via phone (501) 663-3647.Contact Information
Primary practice address
800 Fair Park Blvd
Little Rock AR 72204
Phone: (501) 663-3647
Fax: (501) 666-9653
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | E-4371 | Arkansas |
Profile Details
NPI number | 1295776037 |
---|---|
LBN Legal business name | Gordon, Eric Houston |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 10th, 2006 |
Last updated | Mar 28th, 2018 - about 6 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 | 1295776037 | NPPES |
Arkansas | Other | 5N578C207 | MEDICARE |
Arkansas | MEDICAID | 161917001 | MEDICARE |
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