Jordan, James Joseph

Jordan, James Joseph is an individual health care provider with primary practice located at 408 Saint Peter St Ste 429, Saint Paul MN 55102-1119. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Jordan, James Joseph can be contacted via phone (651) 224-0614.

Contact Information

Primary practice address
408 Saint Peter St Ste 429 Saint Paul MN 55102-1119
Fax: (651) 224-5754
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 17962 Minnesota

Profile Details

NPI number 1720087760
LBN Legal business name Jordan, James Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2005
Last updated Jul 8th, 2007 - about 17 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 1720087760 NPPES
Other 107380 U CARE
Other 15-10023 U CARE
Other 05975J0 U CARE

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