Jordan, Charles Matthew

Jordan, Charles Matthew is an individual health care provider with primary practice located at 800 Scott And White Blvd , College Station TX 77840-5601. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Jordan, Charles Matthew can be contacted via phone (979) 691-3442.

Contact Information

Primary practice address
800 Scott And White Blvd College Station TX 77840-5601
Phone: (979) 691-3442
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 76358 Texas
Allopathic & Osteopathic Physicians / Surgery 208600000X P0740 Texas

Profile Details

NPI number 1881856060
LBN Legal business name Jordan, Charles Matthew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2008
Last updated Sep 17th, 2013 - about 12 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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