Grove, Jordan
Grove, Jordan is an individual health care provider with primary practice located at 1100 Wilford Hall Loop , Jbsa Lackland TX 78236-5638. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Grove, Jordan can be contacted via phone (210) 916-4789.Contact Information
Primary practice address
1100 Wilford Hall Loop
Jbsa Lackland TX 78236-5638
Phone: (210) 916-4789
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 0101273843 | Virginia |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | U5706 | Texas |
Profile Details
| NPI number | 1225658701 |
|---|---|
| LBN Legal business name | Grove, Jordan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 24th, 2020 |
| Last updated | Aug 17th, 2023 - about last year |
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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