Blakeman, Gordon John
Blakeman, Gordon John is an individual health care provider with primary practice located at 6065 S Quebec St Ste 100, Englewood CO 80111. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Blakeman, Gordon John can be contacted via phone (303) 694-2323.Contact Information
Primary practice address
6065 S Quebec St Ste 100
Englewood CO 80111
Phone: (303) 694-2323
Fax: (303) 694-9191
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 15475 | Colorado |
Profile Details
| NPI number | 1770545279 |
|---|---|
| LBN Legal business name | Blakeman, Gordon John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 3rd, 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 | 1770545279 | NPPES |
| Colorado | MEDICAID | 01154756 |
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