Jordan, Marcia C,

Jordan, Marcia C, is an individual health care provider with primary practice located at 1412 Sw 43Rd St #200, Renton WA 98057-4803. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Jordan, Marcia C, can be contacted via phone (425) 271-4910.

Contact Information

Primary practice address
1412 Sw 43Rd St #200 Renton WA 98057-4803
Fax: (425) 264-1041
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD00031325 Washington

Profile Details

NPI number 1558331454
LBN Legal business name Jordan, Marcia C,
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2006
Last updated Dec 28th, 2016 - about 8 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 1558331454 NPPES
Washington MEDICAID 8156531

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