Gordon, Zachary Nathan

Gordon, Zachary Nathan is an individual health care provider with primary practice located at 2705 N Lebanon St Ste 265 , Lebanon IN 46052. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Informatics, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Gordon, Zachary Nathan can be contacted via phone (765) 485-8730.

Contact Information

Primary practice address
2705 N Lebanon St Ste 265 Lebanon IN 46052
Phone: (765) 485-8730
Fax: (765) 485-8739
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Informatics 2083C0008X 01077056A Indiana
Allopathic & Osteopathic Physicians / Urology 208800000X 01077056A Indiana

Profile Details

NPI number 1790075851
LBN Legal business name Gordon, Zachary Nathan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2011
Last updated Oct 11th, 2023 - about 2 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 1790075851 NPPES
Indiana MEDICAID 201369920

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