Jordan, Joseph Dedrick

Jordan, Joseph Dedrick is an sole proprietor health care provider with primary practice located at 1541 Kings Hwy , Shreveport LA 71103-4228. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Vascular Neurology, Allopathic & Osteopathic Physicians / Neurocritical Care. Allopathic & Osteopathic Physicians / Neurocritical Care is his primary health care specialty. Jordan, Joseph Dedrick can be contacted via phone (318) 626-0000.

Contact Information

Primary practice address
1541 Kings Hwy Shreveport LA 71103-4228
Phone: (318) 626-0000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 330800 Louisiana
Allopathic & Osteopathic Physicians / Vascular Neurology 2084V0102X 330800 Louisiana
Allopathic & Osteopathic Physicians / Neurocritical Care 2084A2900X 330800 Louisiana

Profile Details

NPI number 1033261557
LBN Legal business name Jordan, Joseph Dedrick
Credentials M.D., PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 17th, 2007
Last updated Jun 14th, 2022 - about 3 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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