Pringle, Gordon A

Pringle, Gordon A is an individual health care provider with primary practice located at 3401 N Broad St 2Nd Floor, Philadelphia PA 19140-5103. He recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine, which is considered as his primary health care specialty. Pringle, Gordon A can be contacted via phone (215) 707-4353.

Contact Information

Primary practice address
3401 N Broad St 2Nd Floor Philadelphia PA 19140-5103
Phone: (215) 707-4353
Fax: (215) 707-2053
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine 207ZP0105X DS030417L Pennsylvania

Profile Details

NPI number 1174511257
LBN Legal business name Pringle, Gordon A
Credentials DDS PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2005
Last updated Feb 12th, 2010 - about 14 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 1174511257 NPPES
Pennsylvania MEDICAID 1010266950001

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