Cordon, Jared
Cordon, Jared is an individual health care provider with primary practice located at 430 W Ravine Rd , Kingsport TN 37660-3868. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Cordon, Jared can be contacted via phone (423) 245-3161.Contact Information
Primary practice address
430 W Ravine Rd
Kingsport TN 37660-3868
Phone: (423) 245-3161
Fax: (423) 857-8129
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 476918 | Tennessee |
Profile Details
| NPI number | 1649409251 |
|---|---|
| LBN Legal business name | Cordon, Jared |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 6th, 2009 |
| Last updated | Apr 2nd, 2020 - about 5 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 | 1649409251 | NPPES |
| Tennessee | MEDICAID | Q047914 |
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