MR. NOAM GORDON MSC
NPI 1427422922
Counselor - Professional in Fitchburg, WI
- Individual
- Male
- Counselor
- Professional
About NOAM GORDON
This page provides the complete NPI Profile along with additional information for Noam Gordon, a provider established in Fitchburg, Wisconsin with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1427422922 assigned on November 2015. The practitioner's primary taxonomy code is 101YP2500X with license number 5724-125 (WI). The provider is registered as an individual and his NPI record was last updated 11 years ago.
- NPI
- 1427422922 Verify this NPI
- Provider Name
- MR. NOAM GORDON MSC
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 5733 RESTAL ST FITCHBURG, WI 53711
- Location Phone
- (608) 335-6456
- Mailing Address
- 5733 RESTAL ST FITCHBURG, WI 53711
- Mailing Phone
- (608) 335-6456
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 11-20-2015
- Last Update Date
- 11-20-2015
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 5724-125
- License State
- WI
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1427422922, enumerated as an "individual" on November 20, 2015.
The provider is located at 5733 RESTAL ST FITCHBURG, WI 53711 and the phone number is (608) 335-6456.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
