Gordon, Vicki Lee

Gordon, Vicki Lee is an individual health care provider with primary practice located at 16001 W 9 Mile Rd Dept Of Surgery, Southfield MI 48075-4818. She recently has only one registered license in Nursing Service Providers / Medical-Surgical, which is considered as her primary health care specialty. Gordon, Vicki Lee can be contacted via phone (248) 849-3000.

Contact Information

Primary practice address
16001 W 9 Mile Rd Dept Of Surgery Southfield MI 48075-4818
Phone: (248) 849-3000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Medical-Surgical 163WM0705X 4704147901 Michigan

Profile Details

NPI number 1326035270
LBN Legal business name Gordon, Vicki Lee
Credentials RN NP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2005
Last updated Jul 8th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1326035270 NPPES
Michigan Other 4704147901 LICENSE

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