Gordon, Norman Mervyn

Gordon, Norman Mervyn is an sole proprietor health care provider with primary practice located at 450 Veterans Memorial Pkwy Building 11, East Providence RI 02914-5300. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Gordon, Norman Mervyn can be contacted via phone (401) 431-1860.

Contact Information

Primary practice address
450 Veterans Memorial Pkwy Building 11 East Providence RI 02914-5300
Phone: (401) 431-1860
Fax: (401) 435-0328
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 7343 Rhode Island

Profile Details

NPI number 1467481648
LBN Legal business name Gordon, Norman Mervyn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 1st, 2006
Last updated Jan 18th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467481648 NPPES
Rhode Island Other 20655-8 BLUE CROSS BLUE SHIELD
Rhode Island Other 0500232 BLUE CROSS BLUE SHIELD
Rhode Island Other 201764 BLUE CROSS BLUE SHIELD
Rhode Island MEDICAID 9006527 BLUE CROSS BLUE SHIELD
Rhode Island Other 2505 BLUE CROSS BLUE SHIELD

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