Gordon, Jessica M

Gordon, Jessica M is an sole proprietor health care provider with primary practice located at 4703 Highwood Dr , Fort Wayne IN 46815-6067. She recently has only one registered license in Transportation Services / Private Vehicle, which is considered as her primary health care specialty. Gordon, Jessica M can be contacted via phone (260) 797-3604.

Contact Information

Primary practice address
4703 Highwood Dr Fort Wayne IN 46815-6067
Phone: (260) 797-3604
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Private Vehicle 347C00000X 0501147343 Indiana

Profile Details

NPI number 1518359736
LBN Legal business name Gordon, Jessica M
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 25th, 2015
Last updated Feb 25th, 2015 - about 9 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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