Jordan, John M

Jordan, John M is an individual health care provider with primary practice located at 438 N Water St , Black River Falls WI 54615-1005. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Jordan, John M can be contacted via phone (171) 528-4555.

Contact Information

Primary practice address
438 N Water St Black River Falls WI 54615-1005
Fax: (171) 528-4916
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2413 Wisconsin

Profile Details

NPI number 1871638718
LBN Legal business name Jordan, John M
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2007
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 1871638718 NPPES
Wisconsin MEDICAID 38992500

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