Gordon, Scott

Gordon, Scott is an individual health care provider with primary practice located at 504 Lakeland Rd , Shawano WI 54166-3836. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Gordon, Scott can be contacted via phone (715) 526-5547.

Contact Information

Primary practice address
504 Lakeland Rd Shawano WI 54166-3836
Phone: (715) 526-5547
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1487080685
LBN Legal business name Gordon, Scott
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2013
Last updated Sep 19th, 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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