Jordan, Phillip Landon

Jordan, Phillip Landon is an individual health care provider with primary practice located at 1430 Willow Ln Westpark C61-2 N, North Wilkesboro NC 28659-3551. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Jordan, Phillip Landon can be contacted via phone (704) 939-1100.

Contact Information

Primary practice address
1430 Willow Ln Westpark C61-2 N North Wilkesboro NC 28659-3551
Phone: (704) 939-1100
Fax: (704) 939-1173
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 9051 North Carolina
Behavioral Health & Social Service Providers / Counselor 101Y00000X A9051 North Carolina

Profile Details

NPI number 1790054708
LBN Legal business name Jordan, Phillip Landon
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2011
Last updated May 25th, 2017 - about 8 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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