Gordinho, Jose Jorge

Gordinho, Jose Jorge is an sole proprietor health care provider with primary practice located at 2962 Robert C. Byrd Drive , Beckley WV 25801. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Gordinho, Jose Jorge can be contacted via phone (304) 254-9022.

Contact Information

Primary practice address
2962 Robert C. Byrd Drive Beckley WV 25801
Phone: (304) 254-9022
Fax: (304) 254-9024
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 16005 West Virginia
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 0101043986 Virginia

Profile Details

NPI number 1124089016
LBN Legal business name Gordinho, Jose Jorge
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 30th, 2006
Last updated Jul 10th, 2015 - about 11 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 1124089016 NPPES
West Virginia Other 000553723 BLUE CROSS BLUE SHIELD
West Virginia Other 513901 BLUE CROSS BLUE SHIELD
West Virginia MEDICAID 005807000 BLUE CROSS BLUE SHIELD
West Virginia Other 282397 BLUE CROSS BLUE SHIELD
West Virginia MEDICAID 0072202000 BLUE CROSS BLUE SHIELD

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