Jordan, Christopher

Jordan, Christopher is an individual health care provider with primary practice located at 611 E Douglas Rd Ste 137 , Mishawaka IN 46545-1464. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Jordan, Christopher can be contacted via phone (574) 335-6214.

Contact Information

Primary practice address
611 E Douglas Rd Ste 137 Mishawaka IN 46545-1464
Phone: (574) 335-6214
Fax: (574) 335-6215
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 01072993A Indiana

Profile Details

NPI number 1689938664
LBN Legal business name Jordan, Christopher
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2012
Last updated Nov 17th, 2023 - about last year

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 1689938664 NPPES
Indiana MEDICAID 201110900
Indiana Other 01072993A

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