Gordon, Michael A
Gordon, Michael A is an individual health care provider with primary practice located at 3922 Woodley Rd Suite 200, Toledo OH 43606-1130. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Gordon, Michael A can be contacted via phone (419) 473-9380.Contact Information
Primary practice address
3922 Woodley Rd Suite 200
Toledo OH 43606-1130
Phone: (419) 473-9380
Fax: (419) 473-9515
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | 35047850 | Ohio |
Profile Details
| NPI number | 1396728143 |
|---|---|
| LBN Legal business name | Gordon, Michael A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 25th, 2005 |
| Last updated | May 15th, 2008 - about 17 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 | 1396728143 | NPPES |
| Ohio | MEDICAID | 0491712 | |
| Ohio | Other | CN1332 |
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