Gordon, Michael Scott
Gordon, Michael Scott is an sole proprietor health care provider with primary practice located at 480 Maple St , Danvers MA 01923-2121. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Gordon, Michael Scott can be contacted via phone (978) 304-8451.Contact Information
Primary practice address
480 Maple St
Danvers MA 01923-2121
Phone: (978) 304-8451
Fax: (978) 304-8449
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | 54391 | Massachusetts |
Profile Details
| NPI number | 1407811334 |
|---|---|
| LBN Legal business name | Gordon, Michael Scott |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 20th, 2006 |
| Last updated | Mar 23rd, 2009 - about 15 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 | 1407811334 | NPPES |
| Massachusetts | Other | 2384 | FALLON |
| Massachusetts | Other | 3300086 | FALLON |
| Massachusetts | Other | 5161 | FALLON |
| Massachusetts | Other | 710566 | FALLON |
| Massachusetts | Other | 91531 | FALLON |
| Massachusetts | Other | 28480 | FALLON |
| Massachusetts | Other | 28480 | FALLON |
| Massachusetts | MEDICAID | 3023397 | FALLON |
| Massachusetts | Other | J06385 | FALLON |
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