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:
Health care specialties
Specialty | Code | License # | 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 last year |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1245911858 | NPPES |
Illinois | Other | 21-9767 | NPCE |
Illinois | Other | 2393 | NPCE |
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