Holman, Jordan R

Holman, Jordan R is an sole proprietor health care provider with primary practice located at 69730 Highway 111 Ste 109 , Rancho Mirage CA 92270-2873. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Holman, Jordan R can be contacted via phone (760) 322-1777.

Contact Information

Primary practice address
69730 Highway 111 Ste 109 Rancho Mirage CA 92270-2873
Phone: (760) 322-1777
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X California

Profile Details

NPI number 1801634290
LBN Legal business name Holman, Jordan R
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 18th, 2024
Last updated Jul 18th, 2024 - 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.

Request for update

Popular Providers