Jordan, Christine Widdows

Jordan, Christine Widdows is an individual health care provider with primary practice located at 200 West Esplanade Avenue , Kenner LA 70065. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Jordan, Christine Widdows can be contacted via phone (504) 842-7588.

Contact Information

Primary practice address
200 West Esplanade Avenue Kenner LA 70065
Phone: (504) 842-7588
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD1257312 Louisiana
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD.12573R Louisiana

Profile Details

NPI number 1457395642
LBN Legal business name Jordan, Christine Widdows
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Nov 20th, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457395642 NPPES
Louisiana MEDICAID 1545741
Louisiana MEDICAID 01830767

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