Gordon, Jason

Gordon, Jason is an sole proprietor health care provider with primary practice located at 205 E Rivo Alto Dr , Miami Beach FL 33139-1247. He recently has only one registered license in Other Service Providers / Acupuncturist, which is considered as his primary health care specialty. Gordon, Jason can be contacted via phone (305) 903-0261.

Contact Information

Primary practice address
205 E Rivo Alto Dr Miami Beach FL 33139-1247
Phone: (305) 903-0261
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Acupuncturist 171100000X AP2407

Profile Details

NPI number 1588121776
LBN Legal business name Gordon, Jason
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 25th, 2019
Last updated Feb 25th, 2019 - about 7 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 1588121776 NPPES
Other AP2407 AP2407

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