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Contact Information

GORDRELL ENTERPRISES LLC
2246 S HAMILTON RD STE 100
COLUMBUS, OH43232-4317
 Phone: 614-946-5504
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction Psychiatry

2084P0802X 86 Physician/Neuropsychiatry
 

Addiction (Substance Use Disorder)

101YA0400X
 

Addiction (Substance Use Disorder)

163WA0400X
 

Licensed Practical Nurse

164W00000X
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for GORDRELL ENTERPRISES LLC

NPI # 1982223699
LBN Legal business name GORDRELL ENTERPRISES LLC
Authorized official TOMIKA GORDON - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 04/13/2020
Last updated 09/18/2020 - About 6 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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