Gordon, Dan Yaw
Gordon, Dan Yaw is an individual health care provider with primary practice located at 812 E Saginaw Hwy , Grand Ledge MI 48837-8410. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Gordon, Dan Yaw can be contacted via phone (517) 627-1240.Contact Information
Primary practice address
812 E Saginaw Hwy
Grand Ledge MI 48837-8410
Phone: (517) 627-1240
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 21294021001 | Michigan |
Profile Details
| NPI number | 1477276582 |
|---|---|
| LBN Legal business name | Gordon, Dan Yaw |
| Credentials | PHARMACIST |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 22nd, 2022 |
| Last updated | Sep 22nd, 2022 - about 2 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 | 1477276582 | NPPES |
| Michigan | Other | 21294021001 | PHARMACIST |
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