Gordon, Bryan
Gordon, Bryan is an sole proprietor health care provider with primary practice located at 2618 W 7800 S Suite #200, West Jordan UT 84088-4208. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Gordon, Bryan can be contacted via phone (801) 562-1531.Contact Information
Primary practice address
2618 W 7800 S Suite #200
West Jordan UT 84088-4208
Phone: (801) 562-1531
Fax: (801) 562-1534
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 2774306-1202 | Utah |
Profile Details
| NPI number | 1093888232 |
|---|---|
| LBN Legal business name | Gordon, Bryan |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 16th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093888232 | NPPES |
| Utah | Other | 27743061202001 | REGENCE BLUE CROSS NUMBER |
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