Jordan, Earl Lawrence

Jordan, Earl Lawrence is an sole proprietor health care provider with primary practice located at 2630 Cunningham Ave , Joplin MO 64804-1542. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Jordan, Earl Lawrence can be contacted via phone (417) 781-0044.

Contact Information

Primary practice address
2630 Cunningham Ave Joplin MO 64804-1542
Phone: (417) 781-0044
Fax: (417) 781-6331
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X R7D82 Missouri
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 0521009 Kansas

Profile Details

NPI number 1750463469
LBN Legal business name Jordan, Earl Lawrence
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 20th, 2006
Last updated Feb 23rd, 2015 - about 10 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 1750463469 NPPES
Kansas Other 106030 BLUE CROSS/BLUE SHIELD
Kansas Other 180027096 BLUE CROSS/BLUE SHIELD
Kansas MEDICAID 241986504 BLUE CROSS/BLUE SHIELD
Kansas MEDICAID 100229750B BLUE CROSS/BLUE SHIELD
Kansas MEDICAID 100229750C BLUE CROSS/BLUE SHIELD
Kansas Other 180027097 BLUE CROSS/BLUE SHIELD
Kansas MEDICAID 100026260A BLUE CROSS/BLUE SHIELD

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