Gordon, Richard Steven

Gordon, Richard Steven is an individual health care provider with primary practice located at 10957 Northgreen Dr , Wellington FL 33449-8054. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Gordon, Richard Steven can be contacted via phone (561) 642-4878.

Contact Information

Primary practice address
10957 Northgreen Dr Wellington FL 33449-8054
Phone: (561) 642-4878
Fax: (561) 642-4878
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 96910 Florida

Profile Details

NPI number 1003868878
LBN Legal business name Gordon, Richard Steven
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Jan 5th, 2016 - about 9 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 1003868878 NPPES
Ohio MEDICAID 0752592
Ohio Other 127593300
Ohio Other 341212779007
Ohio Other 300016814
Ohio Other 341212779020
Ohio Other 000000026343
Ohio Other 027978400

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