Gordon, Richard E
Gordon, Richard E is an individual health care provider with primary practice located at 2701 Moorefield Rd , Springfield OH 45502-8207. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gordon, Richard E can be contacted via phone (937) 399-6650.Contact Information
Primary practice address
2701 Moorefield Rd
Springfield OH 45502-8207
Phone: (937) 399-6650
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 35048094G | Ohio |
Profile Details
| NPI number | 1154313609 |
|---|---|
| LBN Legal business name | Gordon, Richard E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 19th, 2005 |
| Last updated | Sep 19th, 2023 - about last year |
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 | 1154313609 | NPPES |
| Ohio | MEDICAID | 0496342 |
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