Jordan, Laurie O'Daniel

Jordan, Laurie O'Daniel is an individual health care provider with primary practice located at 2000 Neuse Blvd , New Bern NC 28560-3449. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Jordan, Laurie O'Daniel can be contacted via phone (252) 633-8111.

Contact Information

Primary practice address
2000 Neuse Blvd New Bern NC 28560-3449
Phone: (252) 633-8111
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 30394 North Carolina

Profile Details

NPI number 1629009261
LBN Legal business name Jordan, Laurie O'Daniel
Credentials RPH, M.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Jan 28th, 2020 - about 5 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 1629009261 NPPES
North Carolina MEDICAID 8947184

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