Gordon, Michelle L

Gordon, Michelle L is an sole proprietor health care provider with primary practice located at 1409 Craig Blvd , Edmond OK 73003-3135. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Gordon, Michelle L can be contacted via phone (405) 248-1155.

Contact Information

Primary practice address
1409 Craig Blvd Edmond OK 73003-3135
Phone: (405) 248-1155
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X

Profile Details

NPI number 1174897524
LBN Legal business name Gordon, Michelle L
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 2nd, 2012
Last updated Mar 2nd, 2012 - about 12 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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