Gordon, Elizabeth Ann

Gordon, Elizabeth Ann is an individual health care provider with primary practice located at 11700 W 2Nd Pl Suite 435, Lakewood CO 80228-1704. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Gordon, Elizabeth Ann can be contacted via phone (720) 321-8410.

Contact Information

Primary practice address
11700 W 2Nd Pl Suite 435 Lakewood CO 80228-1704
Phone: (720) 321-8410
Fax: (720) 321-8411
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 147.0011451 Illinois
Speech, Language and Hearing Service Providers / Audiologist 231H00000X AUD.0000727 Colorado

Profile Details

NPI number 1144663816
LBN Legal business name Gordon, Elizabeth Ann
Credentials AU.D., CCC-A
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2013
Last updated Nov 17th, 2016 - about 10 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 1144663816 NPPES
Illinois MEDICAID 320523735001
Illinois MEDICAID 79251056

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