Jordan, James L.

Jordan, James L. is an individual health care provider with primary practice located at 331 Hospital Dr Suite D, Lebanon MO 65536-9217. He recently has only one registered license in Allopathic & Osteopathic Physicians / Occupational Medicine, which is considered as his primary health care specialty. Jordan, James L. can be contacted via phone (417) 532-3495.

Contact Information

Primary practice address
331 Hospital Dr Suite D Lebanon MO 65536-9217
Fax: (417) 532-3598
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X 2000160358 Missouri

Profile Details

NPI number 1821179029
LBN Legal business name Jordan, James L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated Oct 5th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1821179029 NPPES
Missouri MEDICAID 205006406

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