David, Joseph Jordan

David, Joseph Jordan is an sole proprietor health care provider with primary practice located at 535 Westfield Rd Suite 100, Charlottesville VA 22901. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. David, Joseph Jordan can be contacted via phone (434) 973-9739.

Contact Information

Primary practice address
535 Westfield Rd Suite 100 Charlottesville VA 22901
Fax: (434) 973-0756
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 0101035365 Virginia

Profile Details

NPI number 1033117502
LBN Legal business name David, Joseph Jordan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 8th, 2005
Last updated Mar 11th, 2014 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1033117502 NPPES
Virginia Other 260000521 MEDICARE PTAN

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