Gordon, Susan Theresa
Gordon, Susan Theresa is an individual health care provider with primary practice located at 4227 9Th Ave Sw , Fargo ND 58103-2018. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Gordon, Susan Theresa can be contacted via phone (701) 282-6561.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 301445 | Minnesota |
Profile Details
| NPI number | 1275729881 |
|---|---|
| LBN Legal business name | Gordon, Susan Theresa |
| Credentials | LADC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 18th, 2007 |
| Last updated | Sep 18th, 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 | 1275729881 | NPPES |
| Minnesota | Other | 301445 | LADC |
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