Gordon, Robert
Gordon, Robert is an individual health care provider with primary practice located at 826 Washington Rd Suite 209, Westminster MD 21157-5750. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Gordon, Robert can be contacted via phone (410) 840-8203.Contact Information
Primary practice address
826 Washington Rd Suite 209
Westminster MD 21157-5750
Phone: (410) 840-8203
Fax: (410) 751-2816
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | D20554 | Maryland |
Profile Details
| NPI number | 1225021546 |
|---|---|
| LBN Legal business name | Gordon, Robert |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 23rd, 2005 |
| Last updated | Oct 6th, 2011 - about 13 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 | 1225021546 | NPPES |
| Maryland | MEDICAID | 309904100 |
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