Gordon, Todd Kenneth
Gordon, Todd Kenneth is an sole proprietor health care provider with primary practice located at 3-3212 Kuhio Hwy , Lihue HI 96766-1142. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Gordon, Todd Kenneth can be contacted via phone (808) 274-3190.Contact Information
Primary practice address
3-3212 Kuhio Hwy
Lihue HI 96766-1142
Phone: (808) 274-3190
Fax: (808) 274-3194
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Social Worker | 104100000X |
Profile Details
NPI number | 1477685030 |
---|---|
LBN Legal business name | Gordon, Todd Kenneth |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 9th, 2007 |
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 | 1477685030 | NPPES |
Hawaii | MEDICAID | 539372-01 |
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