Gordon, Jerome Louis

Gordon, Jerome Louis is an sole proprietor health care provider with primary practice located at 3853 Rosecrans St , San Diego CA 92110-3115. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Adult, Nursing Service Providers / Licensed Vocational Nurse. Nursing Service Providers / Licensed Vocational Nurse is his primary health care specialty. Gordon, Jerome Louis can be contacted via phone (619) 615-0439.

Contact Information

Primary practice address
3853 Rosecrans St San Diego CA 92110-3115
Phone: (619) 615-0439
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X 690904 California
Nursing Service Providers / Licensed Vocational Nurse 164X00000X 690904 California

Profile Details

NPI number 1336642503
LBN Legal business name Gordon, Jerome Louis
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 14th, 2018
Last updated Mar 14th, 2018 - about 6 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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