Gordon, Jacob

Gordon, Jacob is an sole proprietor health care provider with primary practice located at 1656 Canvasback Ln , Columbus OH 43215-7023. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Driver, Transportation Services / Private Vehicle, Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities. Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities is his primary health care specialty. Gordon, Jacob can be contacted via phone (419) 270-6893.

Contact Information

Primary practice address
1656 Canvasback Ln Columbus OH 43215-7023
Phone: (419) 270-6893
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Driver 172A00000X UR685742 Ohio
Transportation Services / Private Vehicle 347C00000X UR685742 Ohio
Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities 385HR2060X

Profile Details

NPI number 1619793015
LBN Legal business name Gordon, Jacob
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 2nd, 2024
Last updated Dec 2nd, 2024 - about 2 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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