Gordon, Dana Jill
Gordon, Dana Jill is an individual health care provider with primary practice located at 63 College Ave , Somerville MA 02144-1957. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Gordon, Dana Jill can be contacted via phone (617) 623-3278.Contact Information
Primary practice address
63 College Ave
Somerville MA 02144-1957
Phone: (617) 623-3278
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1467678318 |
|---|---|
| LBN Legal business name | Gordon, Dana Jill |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 18th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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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