Jordan, Kalisha
Jordan, Kalisha is an individual health care provider with primary practice located at 105 Bulifants Blvd Suite B, Williamsburg VA 23188-5717. She recently has only one registered license in Dental Providers / Endodontics, which is considered as her primary health care specialty. Jordan, Kalisha can be contacted via phone (757) 903-2577.Contact Information
Primary practice address
105 Bulifants Blvd Suite B
Williamsburg VA 23188-5717
Phone: (757) 903-2577
Fax: (757) 903-2866
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Endodontics | 1223E0200X | 0401411472 | Virginia |
Profile Details
| NPI number | 1497826960 |
|---|---|
| LBN Legal business name | Jordan, Kalisha |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 13th, 2006 |
| Last updated | Jul 2nd, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497826960 | NPPES |
| Virginia | MEDICAID | 9183511 |
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