Gordon, Michael A

Gordon, Michael A is an sole proprietor health care provider with primary practice located at 117 Dennis Drive , Sanford NC 27330. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Gordon, Michael A can be contacted via phone (919) 774-2220.

Contact Information

Primary practice address
117 Dennis Drive Sanford NC 27330
Phone: (919) 774-2220
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 13991 North Carolina
Allopathic & Osteopathic Physicians / Surgery 208600000X 13991 North Carolina

Profile Details

NPI number 1902885908
LBN Legal business name Gordon, Michael A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 10th, 2006
Last updated Jul 21st, 2022 - about 2 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 1902885908 NPPES
Other 0170C BCBS
MEDICAID 8936308 BCBS

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