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:
Health care specialties
| Specialty | Code | License # | 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 13th, 2026 - about 3 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326035270 | NPPES |
| Michigan | Other | 4704147901 | LICENSE |
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