Bland, Gordon David

Bland, Gordon David is an individual health care provider with primary practice located at Naval Submarine Base New London , Apo AE 06349-5000. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Bland, Gordon David can be contacted via phone (860) 694-3505.

Contact Information

Primary practice address
Naval Submarine Base New London Apo AE 06349-5000
Phone: (860) 694-3505
Fax: (860) 694-4326
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1619132669
LBN Legal business name Bland, Gordon David
Credentials IDC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2008
Last updated Jul 18th, 2008 - about 16 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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