Gordon, Jaclyn Suzanne

Gordon, Jaclyn Suzanne is an individual health care provider with primary practice located at 110 Reading Ave , Jonesville MI 49250-1136. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Peer Specialist, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Gordon, Jaclyn Suzanne can be contacted via phone (517) 849-2330.

Contact Information

Primary practice address
110 Reading Ave Jonesville MI 49250-1136
Phone: (517) 849-2330
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1720698012
LBN Legal business name Gordon, Jaclyn Suzanne
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2020
Last updated Aug 3rd, 2020 - about 5 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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