Gordon, Latasha M
Gordon, Latasha M is an sole proprietor health care provider with primary practice located at 11914 S Route 59 Unit 124 , Plainfield IL 60585-5110. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Gordon, Latasha M can be contacted via phone (815) 729-2160.Contact Information
Primary practice address
11914 S Route 59 Unit 124
Plainfield IL 60585-5110
Phone: (815) 729-2160
Fax: (815) 220-5619
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1659927275 |
|---|---|
| LBN Legal business name | Gordon, Latasha M |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 11th, 2019 |
| Last updated | Aug 11th, 2019 - about 7 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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