Gordon, Peter T

Gordon, Peter T is an individual health care provider with primary practice located at 259 Main St , Yarmouth ME 04096-6723. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Gordon, Peter T can be contacted via phone (207) 846-9013.

Contact Information

Primary practice address
259 Main St Yarmouth ME 04096-6723
Phone: (207) 846-9013
Fax: (207) 523-8586
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 012591 Maine

Profile Details

NPI number 1831158955
LBN Legal business name Gordon, Peter T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 18th, 2006
Last updated Jul 28th, 2016 - about 8 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 1831158955 NPPES
Other 010557 ANTHEM
MEDICAID 311660099 ANTHEM
Other 1040906 ANTHEM

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