Jordan, Michael Robert

Jordan, Michael Robert is an individual health care provider with primary practice located at 1800 Medical Center Pkwy Ste 200 , Murfreesboro TN 37129-2566. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Jordan, Michael Robert can be contacted via phone (615) 896-6800.

Contact Information

Primary practice address
1800 Medical Center Pkwy Ste 200 Murfreesboro TN 37129-2566
Phone: (615) 896-6800
Fax: (615) 895-8890
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 21823 Tennessee

Profile Details

NPI number 1972585123
LBN Legal business name Jordan, Michael Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2005
Last updated Oct 13th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1972585123 NPPES
Tennessee MEDICAID 3077610

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