Jordan, Frank Thomas

Jordan, Frank Thomas is an individual health care provider with primary practice located at 7200 W Cathedral Rock Dr Ste #130, Las Vegas NV 89128. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Jordan, Frank Thomas can be contacted via phone (702) 228-8600.

Contact Information

Primary practice address
7200 W Cathedral Rock Dr Ste #130 Las Vegas NV 89128
Fax: (702) 228-8689
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 5687 Nevada

Profile Details

NPI number 1104913656
LBN Legal business name Jordan, Frank Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2006
Last updated Aug 28th, 2012 - about 12 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 1104913656 NPPES
Nevada MEDICAID 002002576

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