Gordon, Scott M

Gordon, Scott M is an individual health care provider with primary practice located at 2702 Cunningham Ave Ste A, Joplin MO 64804-1570. He recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as his primary health care specialty. Gordon, Scott M can be contacted via phone (417) 782-1910.

Contact Information

Primary practice address
2702 Cunningham Ave Ste A Joplin MO 64804-1570
Phone: (417) 782-1910
Fax: (417) 782-1844
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X 01320 Missouri

Profile Details

NPI number 1427049980
LBN Legal business name Gordon, Scott M
Credentials M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2005
Last updated Apr 11th, 2014 - about 10 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 1427049980 NPPES
Kansas MEDICAID 200675910A
Kansas MEDICAID 100840070A
Kansas MEDICAID 493299218

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