Jordan, Michael
Jordan, Michael is an sole proprietor health care provider with primary practice located at 835 Crater Lake Ave , Medford OR 97504-6505. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Jordan, Michael can be contacted via phone (541) 773-7717.Contact Information
Primary practice address
835 Crater Lake Ave
Medford OR 97504-6505
Phone: (541) 773-7717
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | 8217 | Oregon |
Profile Details
| NPI number | 1093979171 |
|---|---|
| LBN Legal business name | Jordan, Michael |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 17th, 2008 |
| Last updated | Jul 17th, 2008 - 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.
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