Gordon, Jodie Elizabeth
Gordon, Jodie Elizabeth is an individual health care provider with primary practice located at 13301 Hall Rd , Shelby Township MI 48315-5835. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Gordon, Jodie Elizabeth can be contacted via phone (810) 726-0290.Contact Information
Primary practice address
13301 Hall Rd
Shelby Township MI 48315-5835
Phone: (810) 726-0290
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 4901004268 | Michigan |
Profile Details
| NPI number | 1962559203 |
|---|---|
| LBN Legal business name | Gordon, Jodie Elizabeth |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 5th, 2007 |
| 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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