Heiss, Gordon Leigh

Heiss, Gordon Leigh is an sole proprietor health care provider with primary practice located at 3 Lyon Pl , Ogdensburg NY 13669-2590. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Heiss, Gordon Leigh can be contacted via phone (315) 713-6700.

Contact Information

Primary practice address
3 Lyon Pl Ogdensburg NY 13669-2590
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 199696 New York

Profile Details

NPI number 1053330563
LBN Legal business name Heiss, Gordon Leigh
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 18th, 2006
Last updated Jul 28th, 2021 - about 5 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 1053330563 NPPES
New York MEDICAID 01600059

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