Ilse, Jordan Ray

Ilse, Jordan Ray is an individual health care provider with primary practice located at 1300 E. 6Th Avenue , Belton TX 76513-2810. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Ilse, Jordan Ray can be contacted via phone (254) 778-5400.

Contact Information

Primary practice address
1300 E. 6Th Avenue Belton TX 76513-2810
Phone: (254) 778-5400
Fax: (254) 778-5444
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X N8307 Texas

Profile Details

NPI number 1477712479
LBN Legal business name Ilse, Jordan Ray
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2008
Last updated Aug 4th, 2017 - about 7 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 1477712479 NPPES
Texas Other N8307 TX LICENSE

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