King, Gordon L.

King, Gordon L. is an individual health care provider with primary practice located at 6115 Powers Blvd Suite 100, Parma OH 44129-5471. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. King, Gordon L. can be contacted via phone (440) 888-7855.

Contact Information

Primary practice address
6115 Powers Blvd Suite 100 Parma OH 44129-5471
Phone: (440) 888-7855
Fax: (440) 888-7862
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT 003595 Ohio

Profile Details

NPI number 1164614848
LBN Legal business name King, Gordon L.
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2007
Last updated Apr 3rd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1164614848 NPPES
Ohio MEDICAID 2860720

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