Jordan, Joseph

Jordan, Joseph is an sole proprietor health care provider with primary practice located at 206 Hollywood Ct N , Kissimmee FL 34743-7846. He recently has only one registered license in Agencies / Foster Care Agency, which is considered as his primary health care specialty. Jordan, Joseph can be contacted via phone (407) 348-5030.

Contact Information

Primary practice address
206 Hollywood Ct N Kissimmee FL 34743-7846
Fax: (407) 348-5030
Website:

Health care specialties

SpecialtyCodeLicense #State
Agencies / Foster Care Agency 253J00000X

Profile Details

NPI number 1245404136
LBN Legal business name Jordan, Joseph
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 22nd, 2008
Last updated Apr 22nd, 2008 - about 16 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 1245404136 NPPES
Florida MEDICAID 230265900

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