Edelson, Joseph Gordon

Edelson, Joseph Gordon is an individual health care provider with primary practice located at 560 W Mitchell St Ste M40 , Petoskey MI 49770-2278. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Edelson, Joseph Gordon can be contacted via phone (231) 487-3637.

Contact Information

Primary practice address
560 W Mitchell St Ste M40 Petoskey MI 49770-2278
Phone: (231) 487-3637
Fax: (231) 487-6513
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 51996 Colorado
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 29735 South Carolina
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X MD2018-0675 New Mexico
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 4301114320 Michigan

Profile Details

NPI number 1598766255
LBN Legal business name Edelson, Joseph Gordon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2005
Last updated Nov 12th, 2024 - about 2 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 1598766255 NPPES
South Carolina MEDICAID 297351
South Carolina MEDICAID 1598766255

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