Gordon, Jill S

Gordon, Jill S is an individual health care provider with primary practice located at 4257 Us Highway 9 Bldg 6 Freehold Office Plaza, Freehold NJ 07728-8310. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter. Speech, Language and Hearing Service Providers / Audiologist is her primary health care specialty. Gordon, Jill S can be contacted via phone (732) 303-9660.

Contact Information

Primary practice address
4257 Us Highway 9 Bldg 6 Freehold Office Plaza Freehold NJ 07728-8310
Phone: (732) 303-9660
Fax: (732) 303-1810
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X YA00174 New Jersey
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X MG00564 New Jersey

Profile Details

NPI number 1023195484
LBN Legal business name Gordon, Jill S
Credentials AUD
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1023195484 NPPES
New Jersey MEDICAID 7939809

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