Gordon, Janice

Gordon, Janice is an individual health care provider with primary practice located at 1120 W Butler Rd Ste I , Greenville SC 29607-4809. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Gordon, Janice can be contacted via phone (864) 269-6985.

Contact Information

Primary practice address
1120 W Butler Rd Ste I Greenville SC 29607-4809
Phone: (864) 269-6985
Fax: (864) 751-1619
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X 2020-34953 South Carolina

Profile Details

NPI number 1730728148
LBN Legal business name Gordon, Janice
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 2nd, 2020
Last updated Jan 8th, 2020 - about 6 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 1730728148 NPPES
Other 238290 NAICS
Other 532283 NAICS
Other 446119 NAICS
Other 236118 NAICS
Other 238990 NAICS
Other 811198 NAICS
Other 333921 NAICS

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