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

Primary practice address
1836 South Ave La Crosse WI 54601
Fax:
Website:

Health care specialties

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093841785 NPPES
Wisconsin MEDICAID 41225900

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