Newbern, David Gordon

Newbern, David Gordon is an individual health care provider with primary practice located at 800 Fair Park Blvd , Little Rock AR 72204. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery, which is considered as his primary health care specialty. Newbern, David Gordon can be contacted via phone (501) 666-2824.

Contact Information

Primary practice address
800 Fair Park Blvd Little Rock AR 72204
Phone: (501) 666-2824
Fax: (501) 666-9653
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery 207XS0114X C7130 Arkansas

Profile Details

NPI number 1558349712
LBN Legal business name Newbern, David Gordon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 6th, 2006
Last updated Mar 26th, 2018 - about 8 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 1558349712 NPPES
Arkansas MEDICAID 121696001
Arkansas Other 55519C207

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