Gordon, Michael Anthony

Gordon, Michael Anthony is an sole proprietor health care provider with primary practice located at 829 Main St , Schererville IN 46375-1100. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Gordon, Michael Anthony can be contacted via phone (219) 322-1929.

Contact Information

Primary practice address
829 Main St Schererville IN 46375-1100
Fax: (219) 322-1039
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 12009120 Indiana

Profile Details

NPI number 1851407027
LBN Legal business name Gordon, Michael Anthony
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 21st, 2006
Last updated Dec 4th, 2020 - about 5 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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