Conner, William Jordan
Conner, William Jordan is an sole proprietor health care provider with primary practice located at 211 W Matthews St Suite 102, Matthews NC 28105-1309. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Conner, William Jordan can be contacted via phone (704) 708-4301.Contact Information
Primary practice address
211 W Matthews St Suite 102
Matthews NC 28105-1309
Phone: (704) 708-4301
Fax: (704) 708-4389
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 9701293 | North Carolina |
Profile Details
| NPI number | 1750375028 |
|---|---|
| LBN Legal business name | Conner, William Jordan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 1st, 2005 |
| Last updated | Jan 13th, 2014 - 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 | 1750375028 | NPPES |
| North Carolina | MEDICAID | 891239R |
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