Allan, D Gordon

Allan, D Gordon is an individual health care provider with primary practice located at 1301 S Koke Mill Rd , Springfield IL 62711-9252. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery is his primary health care specialty. Allan, D Gordon can be contacted via phone (217) 547-9100.

Contact Information

Primary practice address
1301 S Koke Mill Rd Springfield IL 62711-9252
Phone: (217) 547-9100
Fax: (217) 547-9247
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 036079986 Illinois
Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery 207XS0114X 036079986 Illinois

Profile Details

NPI number 1902892607
LBN Legal business name Allan, D Gordon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2005
Last updated Mar 13th, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902892607 NPPES
Illinois Other P00692114 RAILROAD MEDICARE
Illinois MEDICAID 036079986 RAILROAD MEDICARE

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