Gordon, Stephen V

Gordon, Stephen V is an sole proprietor health care provider with primary practice located at 8490 Picardy Ave Building 600, Suite B, Baton Rouge LA 70809. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Gordon, Stephen V can be contacted via phone (225) 769-6400.

Contact Information

Primary practice address
8490 Picardy Ave Building 600, Suite B Baton Rouge LA 70809
Phone: (225) 769-6400
Fax: (225) 763-4598
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 13013R Louisiana

Profile Details

NPI number 1912908518
LBN Legal business name Gordon, Stephen V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 3rd, 2005
Last updated Sep 25th, 2020 - 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 1912908518 NPPES
Louisiana MEDICAID 1556262

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