Gordon, Justin W
Gordon, Justin W is an sole proprietor health care provider with primary practice located at 3500 Sw 119Th St , Oklahoma City OK 73170-4500. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Gordon, Justin W can be contacted via phone (405) 692-3252.Contact Information
Primary practice address
3500 Sw 119Th St
Oklahoma City OK 73170-4500
Phone: (405) 692-3252
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 731 | Oklahoma |
Profile Details
| NPI number | 1205248200 |
|---|---|
| LBN Legal business name | Gordon, Justin W |
| Credentials | ATC, LAT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 24th, 2014 |
| Last updated | May 24th, 2014 - about 11 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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