Jordahl, David W

Jordahl, David W is an individual health care provider with primary practice located at 3051 Kiesel Rd , Bay City MI 48706-2449. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Jordahl, David W can be contacted via phone (989) 778-2888.

Contact Information

Primary practice address
3051 Kiesel Rd Bay City MI 48706-2449
Phone: (989) 778-2888
Fax: (989) 778-2887
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME113785 Florida
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X DJ066423 Michigan

Profile Details

NPI number 1376552489
LBN Legal business name Jordahl, David W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2006
Last updated Dec 12th, 2018 - about 6 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 1376552489 NPPES
Florida Other ME113785 FLORIDA MEDICAL LICENSE

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