Jordan, Matthias Joseph

Jordan, Matthias Joseph is an sole proprietor health care provider with primary practice located at 114 W 3Rd St Suite 100, Monticello MN 55362-8791. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Jordan, Matthias Joseph can be contacted via phone (763) 295-8826.

Contact Information

Primary practice address
114 W 3Rd St Suite 100 Monticello MN 55362-8791
Phone: (763) 295-8826
Fax: (763) 295-1900
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25273 Minnesota

Profile Details

NPI number 1336118363
LBN Legal business name Jordan, Matthias Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 14th, 2006
Last updated Jan 9th, 2008 - about 16 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 1336118363 NPPES
Minnesota MEDICAID 322877100

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