Shawn Gorden Md Psc

LBN: Shawn Gorden Md Psc
Shawn Gorden Md Psc is an health care organization with primary practice located at 617 23Rd St Ste 6, Ashland KY 41101-2845. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Shawn Gorden Md Psc can be contacted via phone (606) 326-0024, or through Gorden, Shawn via phone (606) 326-0024.

Contact Information

Primary practice address
617 23Rd St Ste 6 Ashland KY 41101-2845
Fax: (606) 326-0041
Website:
Authorized official contact:
Name: Gorden, Shawn Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 39057 Kentucky

Profile Details

NPI number 1356489652
LBN Legal business name Shawn Gorden Md Psc
DBA Doing business as
Authorized official Gorden, Shawn Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 1st, 2007
Last updated Jun 26th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356489652 NPPES
Kentucky MEDICAID 64091820

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