Jordan, Richard Montgomery

Jordan, Richard Montgomery is an individual health care provider with primary practice located at 620 Summit Crossing Pl Suite 106, Gastonia NC 28054-2176. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Jordan, Richard Montgomery can be contacted via phone (704) 867-8021.

Contact Information

Primary practice address
620 Summit Crossing Pl Suite 106 Gastonia NC 28054-2176
Phone: (704) 867-8021
Fax: (704) 864-4606
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 30923 North Carolina
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 30923 North Carolina

Profile Details

NPI number 1821075508
LBN Legal business name Jordan, Richard Montgomery
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 23rd, 2005
Last updated Aug 23rd, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1821075508 NPPES
Other 72386 MEDCOST
Other 47484 MEDCOST
Other 2137652 MEDCOST
Other 4629496 MEDCOST
MEDICAID 8947484 MEDCOST
MEDICAID N30923 MEDCOST
Other 300068233 MEDCOST
Other 1642994 MEDCOST
Other 6677 MEDCOST

Popular Providers