Gordon, Randall
Gordon, Randall is an individual health care provider with primary practice located at 516 Nizhoni Blvd , Gallup NM 87301-5748. He recently has only one registered license in Nursing Service Providers / Ambulatory Care, which is considered as his primary health care specialty. Gordon, Randall can be contacted via phone (505) 722-1000.Contact Information
Primary practice address
516 Nizhoni Blvd
Gallup NM 87301-5748
Phone: (505) 722-1000
Fax: (505) 722-1310
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Ambulatory Care | 163WP2201X | RN110486 | Arizona |
Profile Details
| NPI number | 1184817876 |
|---|---|
| LBN Legal business name | Gordon, Randall |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 25th, 2007 |
| Last updated | Aug 25th, 2007 - about 19 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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