Gordon, William Henry
Gordon, William Henry is an sole proprietor health care provider with primary practice located at 44555 Woodward Ave Suite 307, Pontiac MI 48341-5031. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Gordon, William Henry can be contacted via phone (248) 858-3939.Contact Information
Primary practice address
44555 Woodward Ave Suite 307
Pontiac MI 48341-5031
Phone: (248) 858-3939
Fax: (248) 858-3844
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 4301050191 | Michigan |
Profile Details
| NPI number | 1578585659 |
|---|---|
| LBN Legal business name | Gordon, William Henry |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 24th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1578585659 | NPPES |
| Michigan | MEDICAID | 4181030 |
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