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Contact Information

CARVELL GORDON SR
2346 S LYNHURST DR
INDIANAPOLIS, IN46241-8621
 Phone: 317-225-2155
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

163WH0200X
Indicates primary specialty

NPI Profile & details for CARVELL GORDON SR · (Male)

NPI # 1255272654
Status Active
Credentials
Entity Individual
Enumeration date 04/02/2026
Last updated 04/02/2026 - About 2 months ago
Sole proprietor 1 No
Identifiers
  • IN License # 28250646A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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