Gordon, Paul H
Gordon, Paul H is an individual health care provider with primary practice located at 1010 4Th St Sw , Mason City IA 50401-2857. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Gordon, Paul H can be contacted via phone (641) 422-6020.Contact Information
Primary practice address
1010 4Th St Sw
Mason City IA 50401-2857
Phone: (641) 422-6020
Fax: (641) 422-7803
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 20471 | Iowa |
Profile Details
| NPI number | 1215043013 |
|---|---|
| LBN Legal business name | Gordon, Paul H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 22nd, 2006 |
| Last updated | Jul 8th, 2007 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215043013 | NPPES |
| Iowa | MEDICAID | 0150425 | |
| Iowa | Other | 12236 |
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