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:
Health care specialties
Specialty | Code | License # | 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 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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