Gordon, Joshiah R.
Gordon, Joshiah R. is an individual health care provider with primary practice located at 1600 N Grand Ave Suite 140, Pueblo CO 81003-2700. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Gordon, Joshiah R. can be contacted via phone (719) 564-1542.Contact Information
Primary practice address
1600 N Grand Ave Suite 140
Pueblo CO 81003-2700
Phone: (719) 564-1542
Fax: (719) 566-0916
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 49719 | Colorado |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 49719 | Colorado |
Profile Details
| NPI number | 1952454290 |
|---|---|
| LBN Legal business name | Gordon, Joshiah R. |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 19th, 2007 |
| Last updated | Nov 14th, 2013 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952454290 | NPPES |
| Colorado | Other | 1952454290 | NPI |
| Colorado | MEDICAID | 37708830 | NPI |
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