Gordon, Vaughn

Gordon, Vaughn is an individual health care provider with primary practice located at 350 Elk St , Rapid City SD 57701-7351. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Gordon, Vaughn can be contacted via phone (605) 343-7262.

Contact Information

Primary practice address
350 Elk St Rapid City SD 57701-7351
Phone: (605) 343-7262
Fax: (605) 343-7293
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 1159 South Dakota

Profile Details

NPI number 1225257900
LBN Legal business name Gordon, Vaughn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2007
Last updated Nov 7th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225257900 NPPES
South Dakota Other 4993249 BLUE CROSS/BLUE SHIELD

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