Jordan, David Joseph

Jordan, David Joseph is an sole proprietor health care provider with primary practice located at 1903 Bataan Rd Apt 12 , Redondo Beach CA 90278-1316. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Jordan, David Joseph can be contacted via phone (310) 606-1140.

Contact Information

Primary practice address
1903 Bataan Rd Apt 12 Redondo Beach CA 90278-1316
Phone: (310) 606-1140
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 48198 California

Profile Details

NPI number 1871022657
LBN Legal business name Jordan, David Joseph
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 6th, 2017
Last updated Jul 21st, 2022 - about 3 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 1871022657 NPPES
California Other 48198 MASSAGE THERAPY

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