Adams, Jordan Blake

Adams, Jordan Blake is an individual health care provider with primary practice located at 750 Morton Blvd , Hazard KY 41701-5002. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Adams, Jordan Blake can be contacted via phone (606) 439-1559.

Contact Information

Primary practice address
750 Morton Blvd Hazard KY 41701-5002
Phone: (606) 439-1559
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 52111 South Carolina
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 04299 Kentucky

Profile Details

NPI number 1881075570
LBN Legal business name Adams, Jordan Blake
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2015
Last updated Jun 15th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881075570 NPPES
South Carolina MEDICAID 521117
South Carolina Other SCE2356067
South Carolina Other SCE235J577
South Carolina Other SCE2356084

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