Hurst, John Gordon

Hurst, John Gordon is an individual health care provider with primary practice located at 1801 16Th St , Greeley CO 80631-5154. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Hurst, John Gordon can be contacted via phone (970) 679-9349.

Contact Information

Primary practice address
1801 16Th St Greeley CO 80631-5154
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 22264 Colorado

Profile Details

NPI number 1598799314
LBN Legal business name Hurst, John Gordon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Dec 14th, 2010 - about 16 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 1598799314 NPPES
Colorado Other 930005396 RAILROAD MEDICARE
Colorado MEDICAID 01222645 RAILROAD MEDICARE

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