Guo, Gordon
Guo, Gordon is an individual health care provider with primary practice located at 200 Queens Rd Ste 400 , Charlotte NC 28204-3264. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Guo, Gordon can be contacted via phone (216) 844-3951.Contact Information
Primary practice address
200 Queens Rd Ste 400
Charlotte NC 28204-3264
Phone: (216) 844-3951
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | 01077124A | Indiana |
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | P96803 | New York |
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | 35.138513 | Ohio |
Profile Details
| NPI number | 1306221916 |
|---|---|
| LBN Legal business name | Guo, Gordon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 24th, 2015 |
| Last updated | Jan 25th, 2022 - about 3 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 | 1306221916 | NPPES |
| Indiana | MEDICAID | 201383480 |
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