Gordon, Bridget Nicole

Gordon, Bridget Nicole is an sole proprietor health care provider with primary practice located at 212 N 2Nd St Ste 100 , Richmond KY 40475-1408. She recently has 4 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Phlebotomy, Other Service Providers / Contractor, Agencies / Nursing Care, Behavioral Health & Social Service Providers / Behavior Technician. Technologists, Technicians & Other Technical Service Providers / Phlebotomy is her primary health care specialty. Gordon, Bridget Nicole can be contacted via phone (502) 595-8908.

Contact Information

Primary practice address
212 N 2Nd St Ste 100 Richmond KY 40475-1408
Phone: (502) 595-8908
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Phlebotomy 246RP1900X 219767 Illinois
Other Service Providers / Contractor 171W00000X
Agencies / Nursing Care 251J00000X 2393 Illinois
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1245911858
LBN Legal business name Gordon, Bridget Nicole
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 27th, 2023
Last updated Apr 28th, 2024 - about 8 months 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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Identifiers

StateTypeNumberIssuer
All States NPI 1245911858 NPPES
Illinois Other 21-9767 NPCE
Illinois Other 2393 NPCE

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