Jordan, Michael Robert

Jordan, Michael Robert is an individual health care provider with primary practice located at 325 Essjay Rd , Williamsville NY 14221-8243. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Jordan, Michael Robert can be contacted via phone (716) 630-1143.

Contact Information

Primary practice address
325 Essjay Rd Williamsville NY 14221-8243
Phone: (716) 630-1143
Fax: (716) 817-1766
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 238268 New York
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 238268-1 New York

Profile Details

NPI number 1952456808
LBN Legal business name Jordan, Michael Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2007
Last updated Dec 14th, 2021 - 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.

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