Jordan, Nathan James
Jordan, Nathan James is an individual health care provider with primary practice located at 1836 South Ave , La Crosse WI 54601. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as his primary health care specialty. Jordan, Nathan James can be contacted via phone (608) 782-7300.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 4461026 | Wisconsin |
Profile Details
NPI number | 1093841785 |
---|---|
LBN Legal business name | Jordan, Nathan James |
Credentials | MS, OTR |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 26th, 2007 |
Last updated | Jun 7th, 2018 - about 7 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 | 1093841785 | NPPES |
Wisconsin | MEDICAID | 41225900 |
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