Gordon, Samantha
Gordon, Samantha is an sole proprietor health care provider with primary practice located at 110 Bush Hill Rd , Manchester CT 06040-7104. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Gordon, Samantha can be contacted via phone (959) 209-0275.Contact Information
Primary practice address
110 Bush Hill Rd
Manchester CT 06040-7104
Phone: (959) 209-0275
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X |
Profile Details
| NPI number | 1154183804 |
|---|---|
| LBN Legal business name | Gordon, Samantha |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 29th, 2024 |
| Last updated | Jan 29th, 2024 - about 2 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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