Jordan, James C

Jordan, James C is an individual health care provider with primary practice located at 37868 Us Highway 18 , Prairie Du Chien WI 53821-8416. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Jordan, James C can be contacted via phone (608) 357-2430.

Contact Information

Primary practice address
37868 Us Highway 18 Prairie Du Chien WI 53821-8416
Phone: (608) 357-2430
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 23393 Nebraska

Profile Details

NPI number 1811962574
LBN Legal business name Jordan, James C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2006
Last updated Jun 11th, 2021 - about 3 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 1811962574 NPPES
Nebraska MEDICAID 47042628511

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