Gordon, James William

Gordon, James William is an individual health care provider with primary practice located at 67 Walnut Ave Ste 207 , Clark NJ 07066-1640. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Gordon, James William can be contacted via phone (732) 982-2888.

Contact Information

Primary practice address
67 Walnut Ave Ste 207 Clark NJ 07066-1640
Phone: (732) 982-2888
Fax: (847) 859-5885
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X 37PC00710200 New Jersey

Profile Details

NPI number 1295171775
LBN Legal business name Gordon, James William
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2013
Last updated Feb 12th, 2020 - about 4 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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