Jordan, Jeremy Scott

Jordan, Jeremy Scott is an sole proprietor health care provider with primary practice located at 2718 Walton Dr , Ocean Springs MS 39564-5424. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Jordan, Jeremy Scott can be contacted via phone (228) 860-8868.

Contact Information

Primary practice address
2718 Walton Dr Ocean Springs MS 39564-5424
Phone: (228) 860-8868
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 1061 Mississippi

Profile Details

NPI number 1124180153
LBN Legal business name Jordan, Jeremy Scott
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 15th, 2006
Last updated Apr 17th, 2024 - about 8 months 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 1124180153 NPPES
Mississippi Other 1061 MS DOCTORATE OF CHIROPRACTIC LICENSE NUMBER
Mississippi MEDICAID 03356557 MS DOCTORATE OF CHIROPRACTIC LICENSE NUMBER

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