Agnew, Jordan

Agnew, Jordan is an individual health care provider with primary practice located at 1627 E Anaheim St , Long Beach CA 90813-3809. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Agnew, Jordan can be contacted via phone (562) 218-8181.

Contact Information

Primary practice address
1627 E Anaheim St Long Beach CA 90813-3809
Phone: (562) 218-8181
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 61716 California

Profile Details

NPI number 1609499763
LBN Legal business name Agnew, Jordan
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2020
Last updated Nov 6th, 2023 - about 2 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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