Jordan, Marlon D

Jordan, Marlon D is an individual health care provider with primary practice located at 1418 College Dr , Mount Carmel IL 62863-2638. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Jordan, Marlon D can be contacted via phone (618) 240-2740.

Contact Information

Primary practice address
1418 College Dr Mount Carmel IL 62863-2638
Phone: (618) 240-2740
Fax: (618) 263-6479
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 01030224A Indiana
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 036082355 Illinois

Profile Details

NPI number 1467415117
LBN Legal business name Jordan, Marlon D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2006
Last updated Feb 17th, 2022 - about 2 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 1467415117 NPPES
Other 000000042524 ANTHEM
MEDICAID 64756620 ANTHEM
MEDICAID 100343920A ANTHEM

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