Everett, Jordan

Everett, Jordan is an sole proprietor health care provider with primary practice located at Douglas L Wilder Building Carter G Woodson Ave , Petersburg VA 23806-0001. She recently has only one registered license in Other Service Providers / Health Educator, which is considered as her primary health care specialty. Everett, Jordan can be contacted via phone (804) 524-5639.

Contact Information

Primary practice address
Douglas L Wilder Building Carter G Woodson Ave Petersburg VA 23806-0001
Phone: (804) 524-5639
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Health Educator 174H00000X

Profile Details

NPI number 1427745264
LBN Legal business name Everett, Jordan
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 21st, 2023
Last updated Apr 21st, 2023 - 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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