Roe, David Gordon

Roe, David Gordon is an sole proprietor health care provider with primary practice located at 330 N Wabash Ave Suite 440, Marion IN 46952-2600. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Roe, David Gordon can be contacted via phone (765) 664-7401.

Contact Information

Primary practice address
330 N Wabash Ave Suite 440 Marion IN 46952-2600
Phone: (765) 664-7401
Fax: (765) 664-7428
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 01027484 Indiana

Profile Details

NPI number 1275565897
LBN Legal business name Roe, David Gordon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 6th, 2006
Last updated Mar 3rd, 2008 - about 17 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 1275565897 NPPES
Indiana Other 000000091655 BLUE CROSS BLUE SHIELD
Indiana Other 2214331001 BLUE CROSS BLUE SHIELD
Indiana Other 4576108 BLUE CROSS BLUE SHIELD

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