Jordan, Derrick Lamont

Jordan, Derrick Lamont is an individual health care provider with primary practice located at 311 Mcbee St , Lincolnton NC 28092. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Jordan, Derrick Lamont can be contacted via phone (704) 986-1500.

Contact Information

Primary practice address
311 Mcbee St Lincolnton NC 28092
Phone: (704) 986-1500
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X C008484 North Carolina

Profile Details

NPI number 1194039099
LBN Legal business name Jordan, Derrick Lamont
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2010
Last updated Jun 5th, 2019 - about 5 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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