Haire, Jordan Russell
Haire, Jordan Russell is an individual health care provider with primary practice located at 4101 Main St Ste D , Hilton Head Island SC 29926-4609. He recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as his primary health care specialty. Haire, Jordan Russell can be contacted via phone (843) 682-4601.Contact Information
Primary practice address
4101 Main St Ste D
Hilton Head Island SC 29926-4609
Phone: (843) 682-4601
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X |
Profile Details
| NPI number | 1205444171 |
|---|---|
| LBN Legal business name | Haire, Jordan Russell |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 16th, 2020 |
| Last updated | Jul 16th, 2020 - about 4 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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