Gordon, John David

Gordon, John David is an individual health care provider with primary practice located at 7625 W 92Nd Ave , Westminster CO 80021-4567. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gordon, John David can be contacted via phone (303) 254-7468.

Contact Information

Primary practice address
7625 W 92Nd Ave Westminster CO 80021-4567
Phone: (303) 254-7468
Fax: (303) 650-2287
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 23951 Colorado

Profile Details

NPI number 1356320196
LBN Legal business name Gordon, John David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2006
Last updated Aug 24th, 2016 - about 10 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 1356320196 NPPES
Colorado Other 4052059 AETNA
Colorado Other RO103008 AETNA
Colorado Other C103008 AETNA
Colorado Other 261603 AETNA
Colorado Other 841365302002 AETNA
Colorado Other 080115217 AETNA
Colorado Other 84136530224 AETNA
Colorado MEDICAID 04020541 AETNA
Colorado Other 1215981634 AETNA
Colorado Other 1356320196 AETNA
Colorado Other 513142 AETNA
Colorado Other 8413653020A AETNA
Colorado Other GO189518 AETNA
Colorado MEDICAID 01239516 AETNA

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