Jordan, Robert B

Jordan, Robert B is an individual health care provider with primary practice located at 622 E Reelfoot Ave , Union City TN 38261-5739. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Jordan, Robert B can be contacted via phone (731) 885-0541.

Contact Information

Primary practice address
622 E Reelfoot Ave Union City TN 38261-5739
Phone: (731) 885-0541
Fax: (731) 885-0588
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X ODT1210 Tennessee

Profile Details

NPI number 1265501126
LBN Legal business name Jordan, Robert B
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2006
Last updated Jun 1st, 2009 - about 16 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 1265501126 NPPES
Tennessee Other 0151506 BLUECROSS BLUESHIELD TN
Tennessee MEDICAID 6159 BLUECROSS BLUESHIELD TN
Tennessee Other 940073 BLUECROSS BLUESHIELD TN
Tennessee Other 13835 BLUECROSS BLUESHIELD TN
Tennessee Other 0468680001 BLUECROSS BLUESHIELD TN

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