Gordon, Wayne

Gordon, Wayne is an sole proprietor health care provider with primary practice located at 228 Ponte Vedra Park Dr Suite 800, Ponte Vedra Beach FL 32082-6613. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Chiropractic Providers / Rehabilitation. Chiropractic Providers / Chiropractor is his primary health care specialty. Gordon, Wayne can be contacted via phone (904) 418-3937.

Contact Information

Primary practice address
228 Ponte Vedra Park Dr Suite 800 Ponte Vedra Beach FL 32082-6613
Phone: (904) 418-3937
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CHIR008143 Georgia
Chiropractic Providers / Rehabilitation 111NR0400X CHIR008143 Georgia
Chiropractic Providers / Chiropractor 111N00000X CH9576 Florida

Profile Details

NPI number 1003952573
LBN Legal business name Gordon, Wayne
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 30th, 2007
Last updated Jan 26th, 2017 - about 8 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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