Gordon, Gregory I
Gordon, Gregory I is an individual health care provider with primary practice located at 981045 Nebraska Medical Ctr , Omaha NE 68198-1045. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Gordon, Gregory I can be contacted via phone (402) 559-1343.Contact Information
Primary practice address
981045 Nebraska Medical Ctr
Omaha NE 68198-1045
Phone: (402) 559-1343
Fax: (402) 559-1340
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 2001004974 | Missouri |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 04-29913 | Kansas |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 36092986 | Illinois |
Profile Details
| NPI number | 1205804267 |
|---|---|
| LBN Legal business name | Gordon, Gregory I |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 8th, 2006 |
| Last updated | Jan 28th, 2010 - about 14 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 | 1205804267 | NPPES |
| Nebraska | MEDICAID | 470785575 | |
| Nebraska | Other | 098605120 | |
| Nebraska | MEDICAID | 036092986 |
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