Jordan, Michael T

Jordan, Michael T is an individual health care provider with primary practice located at 927 Franklin St Se The Orthopaedic Center, Huntsville AL 35801-4306. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Jordan, Michael T can be contacted via phone (256) 539-2728.

Contact Information

Primary practice address
927 Franklin St Se The Orthopaedic Center Huntsville AL 35801-4306
Phone: (256) 539-2728
Fax: (256) 428-3423
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA513 Alabama

Profile Details

NPI number 1639258494
LBN Legal business name Jordan, Michael T
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2006
Last updated Feb 8th, 2010 - about 15 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 1639258494 NPPES
Alabama Other 51546369 BCBS
Alabama Other 7088895 BCBS
Alabama MEDICAID 009913302 BCBS
Alabama Other POO777891 BCBS

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