Gordon, Tina Marie

Gordon, Tina Marie is an sole proprietor health care provider with primary practice located at 4657 E Odessa Dr , Queen Creek AZ 85140-4516. She recently has 2 registered licenses in different health care specialties including Agencies / In Home Supportive Care, Nursing Service Related Providers / Adult Companion. Nursing Service Related Providers / Adult Companion is her primary health care specialty. Gordon, Tina Marie can be contacted via phone (951) 305-1462.

Contact Information

Primary practice address
4657 E Odessa Dr Queen Creek AZ 85140-4516
Phone: (951) 305-1462
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / In Home Supportive Care 253Z00000X
Nursing Service Related Providers / Adult Companion 372600000X

Profile Details

NPI number 1053021733
LBN Legal business name Gordon, Tina Marie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 2nd, 2022
Last updated Dec 2nd, 2022 - about 3 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1053021733 NPPES
Arizona Other 88-07544070 IN HOME CARE FOR ELDERLY

Popular Providers