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:
Health care specialties
| Specialty | Code | License # | 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 16 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 | 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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