Gordon, Cecilia Bernadette

Gordon, Cecilia Bernadette is an individual health care provider with primary practice located at 212 S Salem St , Apex NC 27502-1825. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Gordon, Cecilia Bernadette can be contacted via phone (919) 362-5201.

Contact Information

Primary practice address
212 S Salem St Apex NC 27502-1825
Phone: (919) 362-5201
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS9461 Florida
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 200301233 North Carolina

Profile Details

NPI number 1356401749
LBN Legal business name Gordon, Cecilia Bernadette
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2006
Last updated Sep 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356401749 NPPES
Florida Other OS9461 MEDICAL LICENSE
Florida MEDICAID 89135MO MEDICAL LICENSE

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