Sharp, Gordon
Sharp, Gordon is an individual health care provider with primary practice located at 1 Hospital Dr , Columbia MO 65212-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Sharp, Gordon can be contacted via phone (573) 882-0494.Contact Information
Primary practice address
1 Hospital Dr
Columbia MO 65212-0001
Phone: (573) 882-0494
Fax: (573) 882-1380
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | R3719 | Missouri |
Profile Details
| NPI number | 1932286317 |
|---|---|
| LBN Legal business name | Sharp, Gordon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 1st, 2006 |
| Last updated | Jun 3rd, 2008 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932286317 | NPPES |
| Missouri | Other | 127403 | BLUE SHIELD/BLUE CHOICE |
| Missouri | MEDICAID | 200639805 | BLUE SHIELD/BLUE CHOICE |
| Missouri | Other | 102608 | BLUE SHIELD/BLUE CHOICE |
| Missouri | Other | 220012065 | BLUE SHIELD/BLUE CHOICE |
| Missouri | Other | 3203005 | BLUE SHIELD/BLUE CHOICE |
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