Faulkner, Gordon
Faulkner, Gordon is an individual health care provider with primary practice located at 2002 E Blue Mounds Rd , Mount Horeb WI 53572-2634. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Faulkner, Gordon can be contacted via phone (608) 274-9717.Contact Information
Primary practice address
2002 E Blue Mounds Rd
Mount Horeb WI 53572-2634
Phone: (608) 274-9717
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 22351 | Wisconsin |
Profile Details
| NPI number | 1942307962 |
|---|---|
| LBN Legal business name | Faulkner, Gordon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Mar 23rd, 2017 - about 9 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 | 1942307962 | NPPES |
| Wisconsin | MEDICAID | 30501900 |
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