Gordon, Douglas Mark
Gordon, Douglas Mark is an sole proprietor health care provider with primary practice located at 20700 Ventura Blvd. Ste. 130, Woodland Hills CA 91364-6277. He recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as his primary health care specialty. Gordon, Douglas Mark can be contacted via phone (818) 345-2660.Contact Information
Primary practice address
20700 Ventura Blvd. Ste. 130
Woodland Hills CA 91364-6277
Phone: (818) 345-2660
Fax: (818) 206-9471
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Chiropractic Providers / Sports Physician | 111NS0005X | 23821 | California |
Profile Details
NPI number | 1255409512 |
---|---|
LBN Legal business name | Gordon, Douglas Mark |
Credentials | Doctor of Chiropractic (DC) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 2nd, 2006 |
Last updated | Jul 8th, 2014 - about 10 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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