Wheeler, Gordon Moor

Wheeler, Gordon Moor is an sole proprietor health care provider with primary practice located at 302 Moore St , Santa Cruz CA 95060-2516. He recently has only one registered license in Behavioral Health & Social Service Providers / Adult Development & Aging, which is considered as his primary health care specialty. Wheeler, Gordon Moor can be contacted via phone (831) 917-1676.

Contact Information

Primary practice address
302 Moore St Santa Cruz CA 95060-2516
Phone: (831) 917-1676
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Adult Development & Aging 103TA0700X 6509 Massachusetts

Profile Details

NPI number 1639664576
LBN Legal business name Wheeler, Gordon Moor
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 23rd, 2018
Last updated Jun 23rd, 2018 - about 8 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 1639664576 NPPES
Massachusetts Other 6509 LICD PSYCHOLOGIST PROVIDER
Massachusetts Other 6509 LICD PSYCHOLOGIST PROVIDER

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