Silver, Michael Gordon

Silver, Michael Gordon is an sole proprietor health care provider with primary practice located at 1008 Minnequa Ave , Pueblo CO 81004-3733. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Silver, Michael Gordon can be contacted via phone (719) 560-5656.

Contact Information

Primary practice address
1008 Minnequa Ave Pueblo CO 81004-3733
Fax: (719) 560-4715
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 28157 Colorado

Profile Details

NPI number 1700805140
LBN Legal business name Silver, Michael Gordon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 18th, 2006
Last updated Mar 7th, 2023 - about 3 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 1700805140 NPPES
Colorado MEDICAID 01281575

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