Jordan, Marie L
Jordan, Marie L is an individual health care provider with primary practice located at 438 N Water St , Black River Falls WI 54615-1005. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Jordan, Marie L can be contacted via phone (171) 528-4555.Contact Information
Primary practice address
438 N Water St
Black River Falls WI 54615-1005
Phone: (171) 528-4555
Fax: (171) 528-4916
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 2450 | Wisconsin |
Profile Details
| NPI number | 1811032733 |
|---|---|
| LBN Legal business name | Jordan, Marie L |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 20th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1811032733 | NPPES |
| Wisconsin | MEDICAID | 38992500 |
Popular Providers
-
Jean, Ruth V
26 S 2Nd St , Black River Falls WI 54615-1728 -
Iehl, Timothy H
W9330 State Road 29 , River Falls WI 54022-4319 -
Jordan, John M
438 N Water St , Black River Falls WI 54615-1005 -
Eoriatti, Daniel Joseph
438 N Water St , Black River Falls WI 54615-1005 -
Schreiner, Amy Marie
109 N. Main St. Suite B, River Falls WI 54022 -
Senoraske, Brian James
314 N 2Nd St Ste 200, River Falls WI 54022-2372 -
Antoine, Beth
504 S Main St , River Falls WI 54022-2235 -
Holliday, Chanelle R
126 S 2Nd St , Black River Falls WI 54615-1726