Jordan, Robert Charles

Jordan, Robert Charles is an individual health care provider with primary practice located at 2295 Henry Tecklenburg Dr , Charleston SC 29414-7801. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Jordan, Robert Charles can be contacted via phone (843) 766-7103.

Contact Information

Primary practice address
2295 Henry Tecklenburg Dr Charleston SC 29414-7801
Phone: (843) 766-7103
Fax: (843) 873-8732
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 10476 South Carolina

Profile Details

NPI number 1558367433
LBN Legal business name Jordan, Robert Charles
Credentials M.D., F.A.A.O.A.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2005
Last updated Oct 19th, 2016 - about 9 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 1558367433 NPPES
South Carolina MEDICAID 104764

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