Jordan, Boyd Kenneth
Jordan, Boyd Kenneth is an individual health care provider with primary practice located at 108 N Township St Suite F, Sedro Woolley WA 98284-1232. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Jordan, Boyd Kenneth can be contacted via phone (360) 854-9924.Contact Information
Primary practice address
108 N Township St Suite F
Sedro Woolley WA 98284-1232
Phone: (360) 854-9924
Fax: (360) 854-9743
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT00006044 | Washington |
Profile Details
| NPI number | 1164401667 |
|---|---|
| LBN Legal business name | Jordan, Boyd Kenneth |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 12th, 2006 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1164401667 | NPPES |
| Washington | MEDICAID | 7112295 |
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