Jordan, Debbie

Jordan, Debbie is an sole proprietor health care provider with primary practice located at 1910 N Lakes Pl , Meridian ID 83646. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Jordan, Debbie can be contacted via phone (208) 342-2273.

Contact Information

Primary practice address
1910 N Lakes Pl Meridian ID 83646
Phone: (208) 342-2273
Fax: (208) 323-9070
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LCPC390 Idaho

Profile Details

NPI number 1073660544
LBN Legal business name Jordan, Debbie
Credentials LCPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 5th, 2007
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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Identifiers

StateTypeNumberIssuer
All States NPI 1073660544 NPPES
Idaho Other 000010032560 REGENCE BLUE SHIELD OF ID
Idaho Other Q4897 REGENCE BLUE SHIELD OF ID

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