Jordan, Glenn Davis
Jordan, Glenn Davis is an sole proprietor health care provider with primary practice located at 315 Martin Luther King Jr Way Ms Z0 Ntl, Tacoma WA 98405-4234. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as his primary health care specialty. Jordan, Glenn Davis can be contacted via phone (253) 403-1019.Contact Information
Primary practice address
315 Martin Luther King Jr Way Ms Z0 Ntl
Tacoma WA 98405-4234
Phone: (253) 403-1019
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | MD00025749 | Washington |
Profile Details
| NPI number | 1043321276 |
|---|---|
| LBN Legal business name | Jordan, Glenn Davis |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Jul 8th, 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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