Immel, Jordan E
Immel, Jordan E is an individual health care provider with primary practice located at 1511 Christy Dr , Jefferson City MO 65101-2854. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Immel, Jordan E can be contacted via phone (573) 632-2777.Contact Information
Primary practice address
1511 Christy Dr
Jefferson City MO 65101-2854
Phone: (573) 632-2777
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 2020022417 | Missouri |
Profile Details
| NPI number | 1669080214 |
|---|---|
| LBN Legal business name | Immel, Jordan E |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2020 |
| Last updated | Jul 20th, 2020 - about 5 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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