Haskell, Gordon Alexander

Haskell, Gordon Alexander is an individual health care provider with primary practice located at 549 E Fair St Bloomburg Hospital, Bloomsburg PA 17815. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Haskell, Gordon Alexander can be contacted via phone (717) 387-2115.

Contact Information

Primary practice address
549 E Fair St Bloomburg Hospital Bloomsburg PA 17815
Phone: (717) 387-2115
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD37149E Pennsylvania

Profile Details

NPI number 1326054263
LBN Legal business name Haskell, Gordon Alexander
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2006
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326054263 NPPES
Pennsylvania Other 50060527 CAPITAL BLUE CROSS
Pennsylvania Other HA40669 CAPITAL BLUE CROSS
Pennsylvania MEDICAID 0011180410002 CAPITAL BLUE CROSS

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