Jordan, Michele
Jordan, Michele is an sole proprietor health care provider with primary practice located at 206 Hollywood Ct N , Kissimmee FL 34743-7846. She recently has only one registered license in Agencies / Foster Care Agency, which is considered as her primary health care specialty. Jordan, Michele can be contacted via phone (407) 348-5030.Contact Information
Primary practice address
206 Hollywood Ct N
Kissimmee FL 34743-7846
Phone: (407) 348-5030
Fax: (407) 348-5030
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Foster Care Agency | 253J00000X |
Profile Details
| NPI number | 1174797054 |
|---|---|
| LBN Legal business name | Jordan, Michele |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 22nd, 2008 |
| Last updated | Apr 22nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174797054 | NPPES |
| Florida | MEDICAID | 300070200 |
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