Jordan, David W
Jordan, David W is an sole proprietor health care provider with primary practice located at 1 Medical Park Dr , Helena MT 59601-8022. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Jordan, David W can be contacted via phone (406) 443-3457.Contact Information
Primary practice address
1 Medical Park Dr
Helena MT 59601-8022
Phone: (406) 443-3457
Fax: (406) 443-7201
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 4325 | Montana |
Profile Details
| NPI number | 1386633378 |
|---|---|
| LBN Legal business name | Jordan, David W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 21st, 2005 |
| Last updated | Jul 21st, 2009 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386633378 | NPPES |
| Other | P00089863 | PALMETTO GBA | |
| Other | 0000012340 | PALMETTO GBA | |
| MEDICAID | 055094 | PALMETTO GBA | |
| Other | 9989778 | PALMETTO GBA |
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