Blair, Gordon T
Blair, Gordon T is an individual health care provider with primary practice located at 3260 Hospital Dr , Juneau AK 99801. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Ultrasound, which is considered as his primary health care specialty. Blair, Gordon T can be contacted via phone (907) 796-8631.Contact Information
Primary practice address
3260 Hospital Dr
Juneau AK 99801
Phone: (907) 796-8631
Fax: (907) 796-8455
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Ultrasound | 2085U0001X | 3015 | Alaska |
Profile Details
| NPI number | 1467473249 |
|---|---|
| LBN Legal business name | Blair, Gordon T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 21st, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467473249 | NPPES |
| Alaska | MEDICAID | MD3015 |
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