CHRISANNE GORDON, MD; NPI #1962896969

Contact Information

CHRISANNE GORDON, MD

500 LONDON AVENUE
MARYSVILLE, OH 43040

Phone: 937-578-2255
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Rehabilitation	261QR0400X	B4[14]	Rehabilitation Agency

Indicates primary specialty

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NPI Profile & details for CHRISANNE GORDON, MD

NPI # 1962896969

LBN Legal business name CHRISANNE GORDON, MD

Authorized official CHRISANNE GORDON - (PHYSICIAN)

Entity Organization

Organization subpart ¹ No

Enumeration date 03/27/2015

Last updated 03/27/2015 - About 11 years ago

Identifiers

OH	License #	35042915
OH	Medicaid	0707328

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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CHRISANNE GORDON, MD

Contact Information

Specialty

Rehabilitation

NPI Profile & details for CHRISANNE GORDON, MD

Reviews for CHRISANNE GORDON, MD