Caldwell, Gordon Thompson
Caldwell, Gordon Thompson is an individual health care provider with primary practice located at 77 Bates St Suite 102, Lewiston ME 04240-7637. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Caldwell, Gordon Thompson can be contacted via phone (207) 783-2300.Contact Information
Primary practice address
77 Bates St Suite 102
Lewiston ME 04240-7637
Phone: (207) 783-2300
Fax: (207) 783-2439
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | 012721 | Maine |
Profile Details
| NPI number | 1376510057 |
|---|---|
| LBN Legal business name | Caldwell, Gordon Thompson |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 2nd, 2006 |
| Last updated | Apr 28th, 2011 - about 15 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 | 1376510057 | NPPES |
| Other | 030495 | BCBS | |
| Other | 010424957 | BCBS | |
| Other | M52001 | BCBS | |
| Other | E19633 | BCBS | |
| Other | 010424957 | BCBS | |
| Other | 010424957 | BCBS | |
| Other | 2075723 | BCBS | |
| Other | 25012128 | BCBS | |
| MEDICAID | 272410099 | BCBS | |
| Other | 010424957 | BCBS |
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