Baldwin, Jesse Jordan

Baldwin, Jesse Jordan is an sole proprietor health care provider with primary practice located at 8097 Callaghan Rd , San Antonio TX 78230-4718. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Baldwin, Jesse Jordan can be contacted via phone (210) 341-2131.

Contact Information

Primary practice address
8097 Callaghan Rd San Antonio TX 78230-4718
Fax: (210) 341-2131
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 8249 Texas

Profile Details

NPI number 1215083779
LBN Legal business name Baldwin, Jesse Jordan
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 26th, 2007
Last updated Jul 8th, 2007 - about 17 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 1215083779 NPPES
Texas Other D08249 BCBS PROVIDER #

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