Gordon, Carrie Ann

Gordon, Carrie Ann is an individual health care provider with primary practice located at 201 W Layton Parkway Suite 4C, Layton UT 84041. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Gordon, Carrie Ann can be contacted via phone (801) 475-3240.

Contact Information

Primary practice address
201 W Layton Parkway Suite 4C Layton UT 84041
Fax: (801) 475-3241
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X A88549 California
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 340625-1205 Utah

Profile Details

NPI number 1992772644
LBN Legal business name Gordon, Carrie Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2006
Last updated Mar 8th, 2021 - about 4 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 1992772644 NPPES
Utah MEDICAID 1992772644

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