Gordon, Robert T

Gordon, Robert T is an individual health care provider with primary practice located at 4150 5Th St , Rapid City SD 57701-6022. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Gordon, Robert T can be contacted via phone (605) 399-4300.

Contact Information

Primary practice address
4150 5Th St Rapid City SD 57701-6022
Phone: (605) 399-4300
Fax: (605) 399-4352
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 5310 South Dakota

Profile Details

NPI number 1588604581
LBN Legal business name Gordon, Robert T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Dec 27th, 2021 - about 4 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 1588604581 NPPES
South Dakota Other 060031670 RAILROAD MEDICARE
South Dakota Other 4995658 RAILROAD MEDICARE
South Dakota MEDICAID 7301930 RAILROAD MEDICARE

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