Wadge, Gordon Frederick
Wadge, Gordon Frederick is an individual health care provider with primary practice located at 120 Ochsner Blvd Ste 460 , Gretna LA 70056-5282. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Wadge, Gordon Frederick can be contacted via phone (504) 371-9355.Contact Information
Primary practice address
120 Ochsner Blvd Ste 460
Gretna LA 70056-5282
Phone: (504) 371-9355
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | MD.208087 | Louisiana |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | MD.208087 | Louisiana |
Profile Details
| NPI number | 1043585326 |
|---|---|
| LBN Legal business name | Wadge, Gordon Frederick |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 20th, 2012 |
| Last updated | Jul 31st, 2019 - about 7 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 | 1043585326 | NPPES |
| Louisiana | MEDICAID | 2196537 | |
| Louisiana | MEDICAID | 06588588 |
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