Jordan, Dan

Jordan, Dan is an sole proprietor health care provider with primary practice located at 1745 Enterprise Dr , Fairfield CA 94533-5801. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Jordan, Dan can be contacted via phone (707) 399-4922.

Contact Information

Primary practice address
1745 Enterprise Dr Fairfield CA 94533-5801
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1891856670
LBN Legal business name Jordan, Dan
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 13th, 2006
Last updated Jul 8th, 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.

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