Cordum, Jared

Cordum, Jared is an individual health care provider with primary practice located at 3009 Prince Street Site 46, Clovis NM 88101. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as his primary health care specialty. Cordum, Jared can be contacted via phone (217) 415-0855.

Contact Information

Primary practice address
3009 Prince Street Site 46 Clovis NM 88101
Phone: (217) 415-0855
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X

Profile Details

NPI number 1558007518
LBN Legal business name Cordum, Jared
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2022
Last updated Jul 22nd, 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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