Gordon, Harry William
Gordon, Harry William is an sole proprietor health care provider with primary practice located at 12566 W Bajada Rd , Peoria AZ 85383-2805. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as his primary health care specialty. Gordon, Harry William can be contacted via phone (480) 948-4650.Contact Information
Primary practice address
12566 W Bajada Rd
Peoria AZ 85383-2805
Phone: (480) 948-4650
Fax: (623) 388-3729
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adult Medicine | 207QA0505X | 7672 | Arizona |
Profile Details
| NPI number | 1205095452 |
|---|---|
| LBN Legal business name | Gordon, Harry William |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 3rd, 2008 |
| Last updated | Jun 3rd, 2008 - about 16 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 | 1205095452 | NPPES |
| Other | BGFJN | MEDICARE |
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