Jordan, Jacob

Jordan, Jacob is an individual health care provider with primary practice located at 2335 Tamiami Trail N. Suite 501, Naples FL 34103-4456. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Jordan, Jacob can be contacted via phone (239) 263-0011.

Contact Information

Primary practice address
2335 Tamiami Trail N. Suite 501 Naples FL 34103-4456
Phone: (239) 263-0011
Fax: (239) 430-7823
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X ME0047319 Florida

Profile Details

NPI number 1417048554
LBN Legal business name Jordan, Jacob
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2006
Last updated Apr 6th, 2017 - about 8 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 1417048554 NPPES
Florida Other P00877422 RR MEDICARE
Florida Other P305081 RR MEDICARE
Florida Other 08461 RR MEDICARE
Florida Other 201912 RR MEDICARE
Florida Other 5954082 RR MEDICARE
Florida MEDICAID 057907600 RR MEDICARE
Florida Other 292168 RR MEDICARE
Florida Other QMP000005106623 RR MEDICARE
Florida Other P953733 RR MEDICARE

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