Gordon, Robert M
Gordon, Robert M is an sole proprietor health care provider with primary practice located at 4200 W Memorial Rd Suite 805, Oklahoma City OK 73120-9350. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Gordon, Robert M can be contacted via phone (405) 286-5946.Contact Information
Primary practice address
4200 W Memorial Rd Suite 805
Oklahoma City OK 73120-9350
Phone: (405) 286-5946
Fax: (888) 990-1791
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 16378 | Oklahoma |
Profile Details
| NPI number | 1093701658 |
|---|---|
| LBN Legal business name | Gordon, Robert M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 20th, 2005 |
| Last updated | Mar 29th, 2017 - about 7 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 | 1093701658 | NPPES |
| Oklahoma | Other | 5791345 | AETNA |
| Oklahoma | MEDICAID | 100129830A | AETNA |
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