Jordan, Justin Harold

Jordan, Justin Harold is an individual health care provider with primary practice located at 520 E Northwest Hwy #102, Grapevine TX 76051-6297. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Jordan, Justin Harold can be contacted via phone (817) 328-1922.

Contact Information

Primary practice address
520 E Northwest Hwy #102 Grapevine TX 76051-6297
Phone: (817) 328-1922
Fax: (817) 328-1933
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 8362 Texas

Profile Details

NPI number 1215035753
LBN Legal business name Jordan, Justin Harold
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Nov 4th, 2009 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1215035753 NPPES
Texas Other 8F5752 BCBS

Popular Providers