Jordan, Jeffrey Paul

Jordan, Jeffrey Paul is an individual health care provider with primary practice located at 36060 Euclid Ave Ste 107, Willoughby OH 44094-4661. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Jordan, Jeffrey Paul can be contacted via phone (440) 375-8100.

Contact Information

Primary practice address
36060 Euclid Ave Ste 107 Willoughby OH 44094-4661
Phone: (440) 375-8100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X COA.11816-NP Ohio

Profile Details

NPI number 1770890055
LBN Legal business name Jordan, Jeffrey Paul
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2010
Last updated Mar 10th, 2022 - about 2 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 1770890055 NPPES
Ohio MEDICAID 3140667

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