Gordon, Leonard B

Gordon, Leonard B is an sole proprietor health care provider with primary practice located at Comnavsurflant N02M 1430 Mitscher Ave, Norfolk VA 23551-2494. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Gordon, Leonard B can be contacted via phone (904) 718-0427.

Contact Information

Primary practice address
Comnavsurflant N02M 1430 Mitscher Ave Norfolk VA 23551-2494
Phone: (904) 718-0427
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1508155375
LBN Legal business name Gordon, Leonard B
Credentials IDC/SMDR
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 1st, 2011
Last updated May 4th, 2011 - about 15 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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