Haggenjos, Jeffrey Jordan

Haggenjos, Jeffrey Jordan is an individual health care provider with primary practice located at 775 Carroll St , New Lexington OH 43764-9415. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Haggenjos, Jeffrey Jordan can be contacted via phone (740) 856-8253.

Contact Information

Primary practice address
775 Carroll St New Lexington OH 43764-9415
Phone: (740) 856-8253
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 34-002872 Ohio

Profile Details

NPI number 1417940172
LBN Legal business name Haggenjos, Jeffrey Jordan
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2005
Last updated Jun 6th, 2022 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1417940172 NPPES
Ohio MEDICAID 0400293

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