Jordan, Anthony Eugene

Jordan, Anthony Eugene is an sole proprietor health care provider with primary practice located at 52115 Prosecco Way , Coachella CA 92236-8511. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics, which is considered as his primary health care specialty. Jordan, Anthony Eugene can be contacted via phone (760) 777-2140.

Contact Information

Primary practice address
52115 Prosecco Way Coachella CA 92236-8511
Phone: (760) 777-2140
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics 2251G0304X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics 2251G0304X 3854 California

Profile Details

NPI number 1215634159
LBN Legal business name Jordan, Anthony Eugene
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 10th, 2023
Last updated Feb 10th, 2023 - 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.

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