Knight, James Gordon

Knight, James Gordon is an individual health care provider with primary practice located at 3917 West Rd Ste 138, Los Alamos NM 87544-2275. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Knight, James Gordon can be contacted via phone (505) 661-9150.

Contact Information

Primary practice address
3917 West Rd Ste 138 Los Alamos NM 87544-2275
Phone: (505) 661-9150
Fax: (505) 661-9135
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X C42180 California
Allopathic & Osteopathic Physicians / Urology 208800000X MD2009-0744 New Mexico

Profile Details

NPI number 1073548665
LBN Legal business name Knight, James Gordon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Jun 14th, 2013 - about 13 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 1073548665 NPPES
New Mexico MEDICAID 85103276

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