Jordan, Brooke J

Jordan, Brooke J is an individual health care provider with primary practice located at 2178 Johnson Ave , San Luis Obispo CA 93401-4535. She recently has only one registered license in Nursing Service Providers / Licensed Psychiatric Technician, which is considered as her primary health care specialty. Jordan, Brooke J can be contacted via phone (805) 781-4700.

Contact Information

Primary practice address
2178 Johnson Ave San Luis Obispo CA 93401-4535
Phone: (805) 781-4700
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Psychiatric Technician 167G00000X 36330 California

Profile Details

NPI number 1689917510
LBN Legal business name Jordan, Brooke J
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2013
Last updated Mar 28th, 2013 - about 11 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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