Gordon, Charlie Renee

Gordon, Charlie Renee is an sole proprietor health care provider with primary practice located at 112 N High St , Antlers OK 74523-2250. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Gordon, Charlie Renee can be contacted via phone (580) 298-3001.

Contact Information

Primary practice address
112 N High St Antlers OK 74523-2250
Phone: (580) 298-3001
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1699111815
LBN Legal business name Gordon, Charlie Renee
Credentials BHRS
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 14th, 2013
Last updated May 14th, 2013 - about 11 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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