Gordon, Thomas William

Gordon, Thomas William is an sole proprietor health care provider with primary practice located at 34101 Farenholt Avenue Building 14, San Diego CA 92134-5291. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Gordon, Thomas William can be contacted via phone (619) 532-7968.

Contact Information

Primary practice address
34101 Farenholt Avenue Building 14 San Diego CA 92134-5291
Phone: (619) 532-7968
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1356869473
LBN Legal business name Gordon, Thomas William
Credentials IDC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 8th, 2017
Last updated Jul 21st, 2022 - about 2 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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