Jordan, David W

Jordan, David W is an individual health care provider with primary practice located at 9707 Franklin Ave , Franklin Park IL 60131. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Jordan, David W can be contacted via phone (847) 451-2232.

Contact Information

Primary practice address
9707 Franklin Ave Franklin Park IL 60131
Phone: (847) 451-2232
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X Illinois

Profile Details

NPI number 1104956788
LBN Legal business name Jordan, David W
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2007
Last updated Jul 8th, 2007 - about 18 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 1104956788 NPPES
Illinois Other 02290105 BLUE CROSS BLUE SHIELD

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