Gordon, Gregory A

Gordon, Gregory A is an individual health care provider with primary practice located at 3700 Southern Blvd Ste 401 , Kettering OH 45429-1226. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Gordon, Gregory A can be contacted via phone (855) 500-2873.

Contact Information

Primary practice address
3700 Southern Blvd Ste 401 Kettering OH 45429-1226
Fax: (937) 281-3913
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 34004894 Ohio

Profile Details

NPI number 1518917301
LBN Legal business name Gordon, Gregory A
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Jan 19th, 2021 - about 4 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 1518917301 NPPES
Ohio MEDICAID 0948925

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