Castle, Jordan
Castle, Jordan is an individual health care provider with primary practice located at 3264 N Evergreen Dr Ne , Grand Rapids MI 49525-9746. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Castle, Jordan can be contacted via phone (616) 363-7339.Contact Information
Primary practice address
3264 N Evergreen Dr Ne
Grand Rapids MI 49525-9746
Phone: (616) 363-7339
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 4301109069 | Michigan |
Profile Details
NPI number | 1891080156 |
---|---|
LBN Legal business name | Castle, Jordan |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 15th, 2011 |
Last updated | Jul 21st, 2022 - about 2 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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