Wilson, John Gordon

Wilson, John Gordon is an sole proprietor health care provider with primary practice located at 715 Nicole Way , Baker City OR 97814-6183. He recently has only one registered license in Dental Providers / Denturist, which is considered as his primary health care specialty. Wilson, John Gordon can be contacted via phone (541) 523-8529.

Contact Information

Primary practice address
715 Nicole Way Baker City OR 97814-6183
Phone: (541) 523-8529
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Denturist 122400000X DTDO10126518 Oregon

Profile Details

NPI number 1023347945
LBN Legal business name Wilson, John Gordon
Credentials L.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 24th, 2009
Last updated Feb 2nd, 2012 - about 12 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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