Gordon, Bennie

Gordon, Bennie is an individual health care provider with primary practice located at 400 N Pepper Ave , Colton CA 92324-1801. He recently has only one registered license in Nursing Service Providers / Licensed Vocational Nurse, which is considered as his primary health care specialty. Gordon, Bennie can be contacted via phone (909) 580-1800.

Contact Information

Primary practice address
400 N Pepper Ave Colton CA 92324-1801
Phone: (909) 580-1800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Vocational Nurse 164X00000X 176537 California

Profile Details

NPI number 1104097823
LBN Legal business name Gordon, Bennie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2008
Last updated Mar 20th, 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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