Gordon, Jennifer L

Gordon, Jennifer L is an individual health care provider with primary practice located at 99 E River Dr 5Th Floor, East Hartford CT 06108-3288. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Gordon, Jennifer L can be contacted via phone (860) 282-4022.

Contact Information

Primary practice address
99 E River Dr 5Th Floor East Hartford CT 06108-3288
Fax: (860) 289-0746
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0000022 Connecticut

Profile Details

NPI number 1740388552
LBN Legal business name Gordon, Jennifer L
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated May 6th, 2014 - about 10 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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