Gordon, Janice
Gordon, Janice is an individual health care provider with primary practice located at 1120 W Butler Rd Ste I , Greenville SC 29607-4809. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Gordon, Janice can be contacted via phone (864) 269-6985.Contact Information
Primary practice address
1120 W Butler Rd Ste I
Greenville SC 29607-4809
Phone: (864) 269-6985
Fax: (864) 751-1619
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Contractor | 171W00000X | 2020-34953 | South Carolina |
Profile Details
| NPI number | 1730728148 |
|---|---|
| LBN Legal business name | Gordon, Janice |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 2nd, 2020 |
| Last updated | Jan 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730728148 | NPPES |
| Other | 238290 | NAICS | |
| Other | 532283 | NAICS | |
| Other | 446119 | NAICS | |
| Other | 236118 | NAICS | |
| Other | 238990 | NAICS | |
| Other | 811198 | NAICS | |
| Other | 333921 | NAICS |
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