Birk, Gordon Troy

Birk, Gordon Troy is an sole proprietor health care provider with primary practice located at 1900 Malvern Ave Suite 301, Hot Springs AR 71901-7759. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Birk, Gordon Troy can be contacted via phone (501) 321-0555.

Contact Information

Primary practice address
1900 Malvern Ave Suite 301 Hot Springs AR 71901-7759
Phone: (501) 321-0555
Fax: (501) 623-1521
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 25289 Alabama
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X E5044 Arkansas

Profile Details

NPI number 1134238793
LBN Legal business name Birk, Gordon Troy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 29th, 2006
Last updated Oct 20th, 2020 - about 6 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 1134238793 NPPES
Arkansas MEDICAID 163783001

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