Gordon, Chanel

Gordon, Chanel is an sole proprietor health care provider with primary practice located at 1731 W Baseline Rd Ste 107 , Mesa AZ 85202-5730. She recently has only one registered license in Other Service Providers / Prosthetics Case Management, which is considered as her primary health care specialty. Gordon, Chanel can be contacted via phone (480) 687-2336.

Contact Information

Primary practice address
1731 W Baseline Rd Ste 107 Mesa AZ 85202-5730
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Prosthetics Case Management 1744P3200X

Profile Details

NPI number 1184267346
LBN Legal business name Gordon, Chanel
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 21st, 2019
Last updated Oct 21st, 2019 - about 5 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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