Gordon, Jerome
Gordon, Jerome is an sole proprietor health care provider with primary practice located at 787 E Northside Dr , Jackson MS 39206-4945. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as his primary health care specialty. Gordon, Jerome can be contacted via phone (504) 813-4968.Contact Information
Primary practice address
787 E Northside Dr
Jackson MS 39206-4945
Phone: (504) 813-4968
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | OT1848 | Mississippi |
Profile Details
NPI number | 1073668596 |
---|---|
LBN Legal business name | Gordon, Jerome |
Credentials | OTR-L |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 24th, 2007 |
Last updated | Jun 16th, 2019 - about 5 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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