Gordon, Mitchell Mason

Gordon, Mitchell Mason is an sole proprietor health care provider with primary practice located at 233 New Canaan Ave , Norwalk CT 06850-1416. He recently has only one registered license in Chiropractic Providers / Neurology, which is considered as his primary health care specialty. Gordon, Mitchell Mason can be contacted via phone (203) 846-0421.

Contact Information

Primary practice address
233 New Canaan Ave Norwalk CT 06850-1416
Fax: (203) 849-9022
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Neurology 111NN0400X 000976 Connecticut

Profile Details

NPI number 1184845356
LBN Legal business name Gordon, Mitchell Mason
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 2nd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1184845356 NPPES
Connecticut Other 050000976CT02 ANTHEM BLUE CROSS & BLUE
Connecticut Other 720384 ANTHEM BLUE CROSS & BLUE

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