Iiams, Gordon John

Iiams, Gordon John is an individual health care provider with primary practice located at 501 Discovery Dr. , Chesapeake VA 23320. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Hand Surgery. Allopathic & Osteopathic Physicians / Hand Surgery is his primary health care specialty. Iiams, Gordon John can be contacted via phone (757) 547-5145.

Contact Information

Primary practice address
501 Discovery Dr. Chesapeake VA 23320
Phone: (757) 547-5145
Fax: (757) 436-2480
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 0101037166 Virginia
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 0101037166 Virginia
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X 0101037166 Virginia

Profile Details

NPI number 1194721175
LBN Legal business name Iiams, Gordon John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2005
Last updated Nov 1st, 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 1194721175 NPPES
Virginia MEDICAID 006404910

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