Fields, Jordan

Fields, Jordan is an sole proprietor health care provider with primary practice located at 1100 Wilford Hall Loop Bldg 4554 , San Antonio TX 78236-5638. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Fields, Jordan can be contacted via phone (314) 956-9412.

Contact Information

Primary practice address
1100 Wilford Hall Loop Bldg 4554 San Antonio TX 78236-5638
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 0810005212 Virginia

Profile Details

NPI number 1043517345
LBN Legal business name Fields, Jordan
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 22nd, 2011
Last updated Nov 15th, 2019 - about 6 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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