Gordon, David Paul

Gordon, David Paul is an sole proprietor health care provider with primary practice located at 133 W 50Th St , Minneapolis MN 55419-1307. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychoanalyst, which is considered as his primary health care specialty. Gordon, David Paul can be contacted via phone (612) 281-7773.

Contact Information

Primary practice address
133 W 50Th St Minneapolis MN 55419-1307
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychoanalyst 102L00000X 45-0463081 Minnesota

Profile Details

NPI number 1619197993
LBN Legal business name Gordon, David Paul
Credentials MSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 27th, 2007
Last updated Feb 20th, 2024 - about 9 months 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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Identifiers

StateTypeNumberIssuer
All States NPI 1619197993 NPPES
Minnesota Other 45-0463081 EMPLOYEE ID NUMBER

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