Jordan, Jacob Nathaniel

Jordan, Jacob Nathaniel is an individual health care provider with primary practice located at 16455 E Maud Rd , Palmer AK 99645-7507. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Jordan, Jacob Nathaniel can be contacted via phone (541) 817-2278.

Contact Information

Primary practice address
16455 E Maud Rd Palmer AK 99645-7507
Phone: (541) 817-2278
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 195182 Alaska

Profile Details

NPI number 1437896156
LBN Legal business name Jordan, Jacob Nathaniel
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date May 14th, 2022
Last updated May 14th, 2022 - about 2 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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