Gordon, Jennifer
Gordon, Jennifer is an individual health care provider with primary practice located at 14999 Health Center Dr Ste 201 , Bowie MD 20716-1087. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Gordon, Jennifer can be contacted via phone (240) 245-4245.Contact Information
Primary practice address
14999 Health Center Dr Ste 201
Bowie MD 20716-1087
Phone: (240) 245-4245
Fax: (240) 245-4916
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 21047 | Maryland |
Profile Details
NPI number | 1487615027 |
---|---|
LBN Legal business name | Gordon, Jennifer |
Credentials | Physical Therapist (PT) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 31st, 2006 |
Last updated | Oct 1st, 2013 - about 11 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 | 1487615027 | NPPES |
Maryland | MEDICAID | 336407100 |
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