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:
Health care specialties
Specialty | Code | License # | 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 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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