Beatty, Jordan Timothy
Beatty, Jordan Timothy is an sole proprietor health care provider with primary practice located at 9917A Spanish Fort Blvd , Spanish Fort AL 36527-5603. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Pharmacy Service Providers / Pharmacist. Pharmacy Service Providers / Pharmacist is his primary health care specialty. Beatty, Jordan Timothy can be contacted via phone (251) 626-3113.Contact Information
Primary practice address
9917A Spanish Fort Blvd
Spanish Fort AL 36527-5603
Phone: (251) 626-3113
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | S10665 | Alabama |
| Pharmacy Service Providers / Pharmacist | 183500000X | 19542 | Alabama |
Profile Details
| NPI number | 1831534635 |
|---|---|
| LBN Legal business name | Beatty, Jordan Timothy |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 7th, 2013 |
| Last updated | Nov 24th, 2020 - 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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