Gordon, David Alan

Gordon, David Alan is an individual health care provider with primary practice located at 1500 N Oakland Ave , Bolivar MO 65613-3011. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Gordon, David Alan can be contacted via phone (417) 777-7763.

Contact Information

Primary practice address
1500 N Oakland Ave Bolivar MO 65613-3011
Phone: (417) 777-7763
Fax: (417) 777-4378
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 00140 Missouri

Profile Details

NPI number 1558334771
LBN Legal business name Gordon, David Alan
Credentials AT
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2006
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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