Jordan N Gonzalski
Student in an Organized Health Care Education/Training Program in West Yarmouth, Massachusetts
1093258303- Practice location
- 579 Buck Island RD, West Yarmouth, MA 02673-3200
- Phone
- 508-534-8131
- Fax
- —
- Last updated
- September 23, 2019
Jordan Nicole Gonzalski is a Student in an Organized Health Care Education/Training Program based in West Yarmouth, MA. Jordan Nicole Gonzalski practices in West Yarmouth, MA. The NPI Number for Jordan Nicole Gonzalski is 1093258303 and holds a License No. 76675 (MA). The current practice location address for Jordan Nicole Gonzalski is 579 Buck Island RD, West Yarmouth, MA 02673-3200 and can be reached out via phone at 508-534-8131.
Provider Profile Details
- NPI Number
- 1093258303
- Provider Name
- Jordan Nicole Gonzalski
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 579 Buck Island RD, West Yarmouth, MA 02673-3200
- Phone Number
- 508-534-8131
- Primary Taxonomy
- Student in an Organized Health Care Education/Training Program · 390200000X
- Sole Proprietor
- No
- Provider Enumeration Date
- November 18, 2016
- Last Update Date
- September 23, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 579 Buck Island RD
West Yarmouth, MA 02673-3200 - City
- West Yarmouth
- State
- Massachusetts
- Zip
- 02673-3200
- Phone Number
- 508-534-8131
Provider Business Mailing Address Details
- Address
- 579 Buck Island RD
West Yarmouth, MA 02673-3200 - City
- West Yarmouth
- State
- MA
- Zip
- 02673-3200
License Information
- License Number (1)
- 76675
- License State (1)
- MA
- Taxonomy (1)
- Speech-Language Pathologist, · 235Z00000X
- Taxonomy (2)
- Student in an Organized Health Care Education/Training Program · 390200000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Jordan N Gonzalski?
The NPI number of Jordan N Gonzalski is 1093258303. It was assigned on November 18, 2016 and is currently active in the NPPES registry.
What is the specialty of Jordan N Gonzalski?
Jordan N Gonzalski is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X), licensed in MA under license number 76675.
Where does Jordan N Gonzalski practice?
The practice location is 579 Buck Island RD, West Yarmouth, MA 02673-3200. The office can be reached at 508-534-8131 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1093258303 directly on the NPPES registry website.