Jordan, James Daryl

Jordan, James Daryl is an sole proprietor health care provider with primary practice located at 629 Middle Creek Rd , Sevierville TN 37862-5014. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Jordan, James Daryl can be contacted via phone (865) 774-4440.

Contact Information

Primary practice address
629 Middle Creek Rd Sevierville TN 37862-5014
Phone: (865) 774-4440
Fax: (865) 774-4868
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD27646 Tennessee
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 27646 Tennessee

Profile Details

NPI number 1619965423
LBN Legal business name Jordan, James Daryl
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 6th, 2005
Last updated Jun 29th, 2020 - about 6 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 1619965423 NPPES
Tennessee MEDICAID 3804297
Tennessee MEDICAID 1619965423

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