Gordon, Carmelina

Gordon, Carmelina is an individual health care provider with primary practice located at 850 W North St Ste 100 , Jackson MI 49202-3196. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Retina Specialist is her primary health care specialty. Gordon, Carmelina can be contacted via phone (877) 852-8463.

Contact Information

Primary practice address
850 W North St Ste 100 Jackson MI 49202-3196
Phone: (877) 852-8463
Fax: (517) 841-3034
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 4301063145 Michigan
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X 4301063145 Michigan

Profile Details

NPI number 1952399297
LBN Legal business name Gordon, Carmelina
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2005
Last updated Jul 21st, 2022 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1952399297 NPPES
Michigan MEDICAID 4496389
Michigan Other 180044966
Michigan Other 180C846310
Michigan Other 180H149970
Michigan MEDICAID 4380786

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