Jordan, Debra

Jordan, Debra is an individual health care provider with primary practice located at 1622 Donaghey , Conway AR 72034. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Jordan, Debra can be contacted via phone (479) 967-5570.

Contact Information

Primary practice address
1622 Donaghey Conway AR 72034
Phone: (479) 967-5570
Fax: (479) 890-5364
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1902934037
LBN Legal business name Jordan, Debra
Credentials DAY TREATMENT AIDE P
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 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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