Charboneau, Gordon W

Charboneau, Gordon W is an sole proprietor health care provider with primary practice located at 6106 Memphis Ave , Cleveland OH 44144-2283. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Other Service Providers / Mechanotherapist. Chiropractic Providers / Chiropractor is his primary health care specialty. Charboneau, Gordon W can be contacted via phone (216) 741-7455.

Contact Information

Primary practice address
6106 Memphis Ave Cleveland OH 44144-2283
Phone: (216) 741-7455
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 303 Ohio
Chiropractic Providers / Chiropractor 111N00000X 3498 Ohio
Other Service Providers / Mechanotherapist 172M00000X 3450 Ohio

Profile Details

NPI number 1891908356
LBN Legal business name Charboneau, Gordon W
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 8th, 2007
Last updated May 12th, 2008 - about 17 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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