Newell, Gordon B
Newell, Gordon B is an individual health care provider with primary practice located at 1320 Park St , Bowling Green KY 42101-2556. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Newell, Gordon B can be contacted via phone (270) 781-3880.Contact Information
Primary practice address
1320 Park St
Bowling Green KY 42101-2556
Phone: (270) 781-3880
Fax: (270) 781-5351
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 17218 | Kentucky |
Profile Details
| NPI number | 1497720643 |
|---|---|
| LBN Legal business name | Newell, Gordon B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 21st, 2006 |
| Last updated | Jun 20th, 2014 - about 12 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 | 1497720643 | NPPES |
| Kentucky | MEDICAID | 64172182 |
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