Jordan, Edward F

Jordan, Edward F is an individual health care provider with primary practice located at 516 Main St , Olean NY 14760-1514. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Jordan, Edward F can be contacted via phone (716) 372-7600.

Contact Information

Primary practice address
516 Main St Olean NY 14760-1514
Fax: (716) 372-9680
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 1257921 New York

Profile Details

NPI number 1871557587
LBN Legal business name Jordan, Edward F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2006
Last updated Feb 6th, 2013 - about 11 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 1871557587 NPPES
New York MEDICAID 00722638

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