Corley, Jordan

Corley, Jordan is an sole proprietor health care provider with primary practice located at 5250 Bayou Willow Dr , Beaumont TX 77705-7054. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Corley, Jordan can be contacted via phone (409) 658-5230.

Contact Information

Primary practice address
5250 Bayou Willow Dr Beaumont TX 77705-7054
Phone: (409) 658-5230
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X AT6026 Texas

Profile Details

NPI number 1013438209
LBN Legal business name Corley, Jordan
Credentials LAT, ATC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 28th, 2017
Last updated Jul 21st, 2022 - about 3 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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