Kantrowitz-Gordon, Ira
Kantrowitz-Gordon, Ira is an individual health care provider with primary practice located at 315 Martin L King Jr Way , Tacoma WA 98405-4234. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Midwife, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is his primary health care specialty. Kantrowitz-Gordon, Ira can be contacted via phone (253) 459-8231.Contact Information
Primary practice address
315 Martin L King Jr Way
Tacoma WA 98405-4234
Phone: (253) 459-8231
Fax: (253) 459-7863
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Midwife | 176B00000X | AP30005021 | Washington |
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | AP30005021 | Washington |
| Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology | 363LX0001X | AP30005021 | Washington |
Profile Details
| NPI number | 1932292695 |
|---|---|
| LBN Legal business name | Kantrowitz-Gordon, Ira |
| Credentials | Certified Nurse Midwife (CNM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 2nd, 2006 |
| Last updated | Aug 8th, 2016 - about 9 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 | 1932292695 | NPPES |
| Washington | MEDICAID | 9624545 |
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