Gordon, Nilaine

Gordon, Nilaine is an individual health care provider with primary practice located at 1040 S Winter St Suite #1022, Adrian MI 49221-3867. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Gordon, Nilaine can be contacted via phone (517) 263-8905.

Contact Information

Primary practice address
1040 S Winter St Suite #1022 Adrian MI 49221-3867
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1710223250
LBN Legal business name Gordon, Nilaine
Credentials M.A. C.P.S.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 2nd, 2013
Last updated Jan 2nd, 2013 - about 13 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 1710223250 NPPES
Michigan MEDICAID 104100000X

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