Avery, Jordan Matthew
Avery, Jordan Matthew is an sole proprietor health care provider with primary practice located at 301 University Blvd , Galveston TX 77555-0193. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Avery, Jordan Matthew can be contacted via phone (409) 772-0770.Contact Information
Primary practice address
301 University Blvd
Galveston TX 77555-0193
Phone: (409) 772-0770
Fax: (409) 747-4010
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | BP10079479 | Texas |
Profile Details
| NPI number | 1316682545 |
|---|---|
| LBN Legal business name | Avery, Jordan Matthew |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 2nd, 2022 |
| Last updated | May 2nd, 2022 - about 3 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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