Jordan, Matthew R

Jordan, Matthew R is an sole proprietor health care provider with primary practice located at 39Th Medical Group Unit 7095, Apo AE 09824. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Military Health Care Provider, Pharmacy Service Providers / Ambulatory Care. Pharmacy Service Providers / Ambulatory Care is his primary health care specialty. Jordan, Matthew R can be contacted via phone (314) 676-6581.

Contact Information

Primary practice address
39Th Medical Group Unit 7095 Apo AE 09824
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Military Health Care Provider 171000000X
Pharmacy Service Providers / Ambulatory Care 1835P2201X 03236712 Ohio

Profile Details

NPI number 1497282545
LBN Legal business name Jordan, Matthew R
Credentials PHARMD, MS, BCMTMS
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 20th, 2017
Last updated Jun 7th, 2023 - about last year

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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