Gordon, Jamey C

Gordon, Jamey C is an individual health care provider with primary practice located at 651 E 191St St , Westfield IN 46074-9243. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Gordon, Jamey C can be contacted via phone (317) 922-1990.

Contact Information

Primary practice address
651 E 191St St Westfield IN 46074-9243
Phone: (317) 922-1990
Fax: (317) 922-1997
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 36000933A Indiana
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 05005935A Indiana

Profile Details

NPI number 1659394203
LBN Legal business name Gordon, Jamey C
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Oct 30th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1659394203 NPPES
Indiana Other 000000356043 ANTHEM

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