Gordon, Shirley
Gordon, Shirley is an sole proprietor health care provider with primary practice located at 9975 Dwayne Ct , Mentor OH 44060-7252. She recently has 10 registered licenses in different health care specialties including Nursing Service Providers / Critical Care Medicine, Nursing Service Providers / Cardiac Rehabilitation, Nursing Service Providers / Emergency, Nursing Service Providers / General Practice, Nursing Service Providers / Home Health, Nursing Service Providers / Infusion Therapy, Nursing Service Providers / Medical-Surgical, Nursing Service Providers / Pediatrics, Nursing Service Providers / School, Nursing Service Providers / Wound Care. Nursing Service Providers / Critical Care Medicine is her primary health care specialty. Gordon, Shirley can be contacted via phone (440) 354-1553.Contact Information
Primary practice address
9975 Dwayne Ct
Mentor OH 44060-7252
Phone: (440) 354-1553
Fax: (440) 354-1553
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Critical Care Medicine | 163WC0200X | RN194973 | Ohio |
| Nursing Service Providers / Cardiac Rehabilitation | 163WC3500X | RN 194973 | Ohio |
| Nursing Service Providers / Emergency | 163WE0003X | RN194973 | Ohio |
| Nursing Service Providers / General Practice | 163WG0000X | RN 194973 | Ohio |
| Nursing Service Providers / Home Health | 163WH0200X | RN194973 | Ohio |
| Nursing Service Providers / Infusion Therapy | 163WI0500X | RN194973 | Ohio |
| Nursing Service Providers / Medical-Surgical | 163WM0705X | RN 194973 | Ohio |
| Nursing Service Providers / Pediatrics | 163WP0200X | RN194973 | Ohio |
| Nursing Service Providers / School | 163WS0200X | RN194973 | Ohio |
| Nursing Service Providers / Wound Care | 163WW0000X | RN 194973 | Ohio |
Profile Details
| NPI number | 1073531349 |
|---|---|
| LBN Legal business name | Gordon, Shirley |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 17th, 2006 |
| Last updated | Jul 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073531349 | NPPES |
| Ohio | MEDICAID | 2171582 |
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