Welk, Gordon Daniel

Welk, Gordon Daniel is an individual health care provider with primary practice located at 253 Sagamore Pkwy W , West Lafayette IN 47906-1501. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Welk, Gordon Daniel can be contacted via phone (765) 448-8000.

Contact Information

Primary practice address
253 Sagamore Pkwy W West Lafayette IN 47906-1501
Phone: (765) 448-8000
Fax: (765) 446-7023
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01025175A Indiana
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 01025175A Indiana

Profile Details

NPI number 1912966748
LBN Legal business name Welk, Gordon Daniel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2006
Last updated Feb 22nd, 2016 - about 10 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 1912966748 NPPES
Indiana Other 000000189493 UC ANTHEM PROVIDER NUMBER
Indiana Other 000000341035 UC ANTHEM PROVIDER NUMBER
Indiana Other 10826167 UC ANTHEM PROVIDER NUMBER
Indiana MEDICAID 100117190 UC ANTHEM PROVIDER NUMBER
Indiana Other 9038773 UC ANTHEM PROVIDER NUMBER

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