Jordan, Patricia Ann
Jordan, Patricia Ann is an individual health care provider with primary practice located at 6349 University Commons , South Bend IN 46635-1475. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Jordan, Patricia Ann can be contacted via phone (574) 968-7425.Contact Information
Primary practice address
6349 University Commons
South Bend IN 46635-1475
Phone: (574) 968-7425
Fax: (574) 968-0390
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 01033982 | Indiana |
Profile Details
| NPI number | 1700884897 |
|---|---|
| LBN Legal business name | Jordan, Patricia Ann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2005 |
| Last updated | Sep 15th, 2010 - about 14 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 | 1700884897 | NPPES |
| Indiana | MEDICAID | 200133350 |
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