Gordon, Wesley
Gordon, Wesley is an individual health care provider with primary practice located at 10010 Kennerly Rd , Saint Louis MO 63128-2106. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as his primary health care specialty. Gordon, Wesley can be contacted via phone (314) 525-1328.Contact Information
Primary practice address
10010 Kennerly Rd
Saint Louis MO 63128-2106
Phone: (314) 525-1328
Fax: (314) 525-1378
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 2015005075 | Missouri |
Profile Details
| NPI number | 1225408966 |
|---|---|
| LBN Legal business name | Gordon, Wesley |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 6th, 2015 |
| Last updated | Mar 15th, 2017 - about 9 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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