Jordan, Diane Marie

Jordan, Diane Marie is an sole proprietor health care provider with primary practice located at 1848 S Elena Ave Suite D, Redondo Beach CA 90277-5710. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Jordan, Diane Marie can be contacted via phone (310) 375-4039.

Contact Information

Primary practice address
1848 S Elena Ave Suite D Redondo Beach CA 90277-5710
Fax: (310) 375-5184
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X DC14413 California

Profile Details

NPI number 1972793347
LBN Legal business name Jordan, Diane Marie
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 31st, 2007
Last updated Jul 31st, 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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