Jordan, Jacqueline Marie
Jordan, Jacqueline Marie is an sole proprietor health care provider with primary practice located at 1117 N Jackson St , Bloomington IN 47404-3385. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Jordan, Jacqueline Marie can be contacted via phone (812) 361-8568.Contact Information
Primary practice address
1117 N Jackson St
Bloomington IN 47404-3385
Phone: (812) 361-8568
Fax: (812) 339-2932
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X |
Profile Details
| NPI number | 1134447105 |
|---|---|
| LBN Legal business name | Jordan, Jacqueline Marie |
| Credentials | MSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 14th, 2010 |
| Last updated | Apr 23rd, 2015 - about 10 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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