Gordon, Michael

Gordon, Michael is an individual health care provider with primary practice located at 12605 E 16Th Ave , Aurora CO 80045-2545. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, Allopathic & Osteopathic Physicians / Surgery of the Hand. Allopathic & Osteopathic Physicians / Surgery of the Hand is his primary health care specialty. Gordon, Michael can be contacted via phone (720) 848-0000.

Contact Information

Primary practice address
12605 E 16Th Ave Aurora CO 80045-2545
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 29767 Colorado
Allopathic & Osteopathic Physicians / Surgery of the Hand 2082S0105X DR.0029767 Colorado

Profile Details

NPI number 1194803452
LBN Legal business name Gordon, Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2006
Last updated Nov 30th, 2018 - about 7 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 1194803452 NPPES
Colorado MEDICAID 01297670

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