Goad, Jordan E
Goad, Jordan E is an individual health care provider with primary practice located at 5783 Wooster Pike , Medina OH 44256-8816. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Goad, Jordan E can be contacted via phone (330) 725-0569.Contact Information
Primary practice address
5783 Wooster Pike
Medina OH 44256-8816
Phone: (330) 725-0569
Fax: (330) 662-0258
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 50.004232RX | Ohio |
Profile Details
| NPI number | 1639560857 |
|---|---|
| LBN Legal business name | Goad, Jordan E |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 10th, 2015 |
| Last updated | Oct 31st, 2020 - about 5 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 | 1639560857 | NPPES |
| Ohio | MEDICAID | 0125673 |
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