Black, Jordan
Black, Jordan is an sole proprietor health care provider with primary practice located at 3555 W 13 Mile Rd , Royal Oak MI 48073-6710. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Black, Jordan can be contacted via phone (248) 982-0400.Contact Information
Primary practice address
3555 W 13 Mile Rd
Royal Oak MI 48073-6710
Phone: (248) 982-0400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | 4351048510 | Michigan |
Profile Details
| NPI number | 1083289730 |
|---|---|
| LBN Legal business name | Black, Jordan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 25th, 2021 |
| Last updated | May 25th, 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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