Estlack, Gordon R
Estlack, Gordon R is an individual health care provider with primary practice located at 801 Medical Dr Ste A , Lima OH 45804-4030. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Estlack, Gordon R can be contacted via phone (419) 222-6622.Contact Information
Primary practice address
801 Medical Dr Ste A
Lima OH 45804-4030
Phone: (419) 222-6622
Fax: (419) 224-0015
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT012580 | Ohio |
Profile Details
| NPI number | 1750609624 |
|---|---|
| LBN Legal business name | Estlack, Gordon R |
| Credentials | Master of Physical Therapy (MPT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2010 |
| Last updated | Nov 15th, 2018 - about 6 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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