Jordan, Kristine M.

Jordan, Kristine M. is an individual health care provider with primary practice located at 20939 Lorain Rd Suite 8, Fairview Park OH 44126-2022. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Jordan, Kristine M. can be contacted via phone (440) 331-2010.

Contact Information

Primary practice address
20939 Lorain Rd Suite 8 Fairview Park OH 44126-2022
Phone: (440) 331-2010
Fax: (440) 331-2052
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X I 0009562 Ohio

Profile Details

NPI number 1609092006
LBN Legal business name Jordan, Kristine M.
Credentials LISW
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2007
Last updated May 17th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1609092006 NPPES
Ohio Other H146141 MEDICARE PTAN

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