Dean, Phillip Jordan
Dean, Phillip Jordan is an individual health care provider with primary practice located at 1100 S Jackson Hwy Suite 104, Sheffield AL 35660-5769. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Dean, Phillip Jordan can be contacted via phone (256) 381-8811.Contact Information
Primary practice address
1100 S Jackson Hwy Suite 104
Sheffield AL 35660-5769
Phone: (256) 381-8811
Fax: (256) 381-5677
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 30609 | Alabama |
Profile Details
| NPI number | 1245464114 |
|---|---|
| LBN Legal business name | Dean, Phillip Jordan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 7th, 2009 |
| Last updated | Jul 16th, 2015 - 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 | 1245464114 | NPPES |
| South Carolina | Other | 34344 | MEDICAL LICENSE |
| South Carolina | Other | 30609 | MEDICAL LICENSE |
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