Bray, Jordan
Bray, Jordan is an sole proprietor health care provider with primary practice located at 110 S Stanfield Rd Suite A, Troy OH 45373-3098. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Bray, Jordan can be contacted via phone (937) 418-2822.Contact Information
Primary practice address
110 S Stanfield Rd Suite A
Troy OH 45373-3098
Phone: (937) 418-2822
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 4559 | Ohio |
| Chiropractic Providers / Chiropractor | 111N00000X | 038.012707 | Illinois |
Profile Details
| NPI number | 1366815789 |
|---|---|
| LBN Legal business name | Bray, Jordan |
| Credentials | DC, ND |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 6th, 2015 |
| Last updated | Nov 6th, 2015 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366815789 | NPPES |
| Ohio | Other | 47-5275818 | FEDERAL TAX ID |
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