Ditchek, Jordan

Ditchek, Jordan is an individual health care provider with primary practice located at 3501 Johnson St , Hollywood FL 33021-5421. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Ditchek, Jordan can be contacted via phone (954) 987-2000.

Contact Information

Primary practice address
3501 Johnson St Hollywood FL 33021-5421
Phone: (954) 987-2000
Fax: (954) 437-6628
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X ME81781 Florida
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME81781 Florida

Profile Details

NPI number 1063415248
LBN Legal business name Ditchek, Jordan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Dec 16th, 2021 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1063415248 NPPES
Florida Other 05109 BLUE CROSS BLUE SHIELD
Florida MEDICAID 261786200 BLUE CROSS BLUE SHIELD

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