Jordan, Mark Vernon
Jordan, Mark Vernon is an individual health care provider with primary practice located at 601 N Elm St , High Point NC 27262-4331. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Jordan, Mark Vernon can be contacted via phone (336) 878-6000.Contact Information
Primary practice address
601 N Elm St
High Point NC 27262-4331
Phone: (336) 878-6000
Fax: (336) 716-0030
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 2007-01129 | North Carolina |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 2007-01129 | North Carolina |
Profile Details
| NPI number | 1881772309 |
|---|---|
| LBN Legal business name | Jordan, Mark Vernon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 1st, 2006 |
| Last updated | Dec 23rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881772309 | NPPES |
| North Carolina | MEDICAID | 5907603 | |
| North Carolina | Other | 14620 |
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