Jordan, Benjamin C
Jordan, Benjamin C is an individual health care provider with primary practice located at 700 S Park St , Madison WI 53715. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Jordan, Benjamin C can be contacted via phone (608) 260-2900.Contact Information
Primary practice address
700 S Park St
Madison WI 53715
Phone: (608) 260-2900
Fax: (608) 260-2961
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 69722-20 | Wisconsin |
Profile Details
| NPI number | 1922393396 |
|---|---|
| LBN Legal business name | Jordan, Benjamin C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2011 |
| Last updated | Nov 30th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922393396 | NPPES |
| Wisconsin | MEDICAID | 1922393396 |
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