Gordon, Jeremy

Gordon, Jeremy is an individual health care provider with primary practice located at 30209 Westwood Dr , Madison Heights MI 48071-5925. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as his primary health care specialty. Gordon, Jeremy can be contacted via phone (248) 250-2388.

Contact Information

Primary practice address
30209 Westwood Dr Madison Heights MI 48071-5925
Phone: (248) 250-2388
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 117701 Texas
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT4646 Colorado

Profile Details

NPI number 1780036525
LBN Legal business name Gordon, Jeremy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2016
Last updated Jul 5th, 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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