Harrod, C Gordon
Harrod, C Gordon is an individual health care provider with primary practice located at 1720 Osage Rd , Derby KS 67037-2090. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Harrod, C Gordon can be contacted via phone (316) 789-8222.Contact Information
Primary practice address
1720 Osage Rd
Derby KS 67037-2090
Phone: (316) 789-8222
Fax: (316) 789-8449
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 25931 | Kansas |
Profile Details
| NPI number | 1144259664 |
|---|---|
| LBN Legal business name | Harrod, C Gordon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 30th, 2006 |
| Last updated | Jul 13th, 2007 - about 17 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 | 1144259664 | NPPES |
| Kansas | Other | 10062 | PHS |
| Kansas | Other | 051670 | PHS |
| Kansas | Other | 10030 | PHS |
| Kansas | Other | 12264066 | PHS |
| Kansas | Other | 16980 | PHS |
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