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Contact Information

BRENDA GORDON
9804 LAKE POINTE CT
204
UPPER MARLBORO, MD20774
 Phone: 404-861-0807
 Fax: 404-861-0807
 Website: http://www.bmgstylestudio.com
 

Specialty

Taxonomy Code Specialty Code Provider Type

Prosthetics Case Management

1744P3200X
Indicates primary specialty

NPI Profile & details for BRENDA GORDON · (Female)

NPI Number 1396132320
Status Active
Credentials
Entity Individual
Enumeration date 04/16/2015
Last updated 04/16/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • GA License # 059684695
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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