Mathes, Gordon L
Mathes, Gordon L is an individual health care provider with primary practice located at 180 Foy Dr , Rocky Mount NC 27804-2417. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Mathes, Gordon L can be contacted via phone (252) 443-3136.Contact Information
Primary practice address
180 Foy Dr
Rocky Mount NC 27804-2417
Phone: (252) 443-3136
Fax: (252) 443-3847
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 27063 | North Carolina |
Profile Details
| NPI number | 1871556977 |
|---|---|
| LBN Legal business name | Mathes, Gordon L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 10th, 2006 |
| Last updated | May 11th, 2021 - about 3 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 | 1871556977 | NPPES |
| North Carolina | MEDICAID | 8954719 | |
| North Carolina | Other | 208557A |
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