Shipp, Gordon Carl

Shipp, Gordon Carl is an individual health care provider with primary practice located at 4301 W Markham St # 543 , Little Rock AR 72205-7101. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Shipp, Gordon Carl can be contacted via phone (501) 686-8000.

Contact Information

Primary practice address
4301 W Markham St # 543 Little Rock AR 72205-7101
Phone: (501) 686-8000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X R-2531 Arkansas

Profile Details

NPI number 1689730459
LBN Legal business name Shipp, Gordon Carl
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2006
Last updated Jul 17th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689730459 NPPES
Arkansas MEDICAID 107655001
Arkansas Other 328824
Arkansas MEDICAID 883134750A
Arkansas Other 14676000000

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