Barkley, Gordon Lee

Barkley, Gordon Lee is an sole proprietor health care provider with primary practice located at 1801 W Wisconsin Ave 245, Milwaukee WI 53233-2186. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Barkley, Gordon Lee can be contacted via phone (309) 645-1121.

Contact Information

Primary practice address
1801 W Wisconsin Ave 245 Milwaukee WI 53233-2186
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 1001220-15 Wisconsin
Dental Providers / Dentist 122300000X 019030495 Illinois

Profile Details

NPI number 1174971808
LBN Legal business name Barkley, Gordon Lee
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 3rd, 2016
Last updated Jun 3rd, 2016 - about 9 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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