Jordan, Roberta Ellen

Jordan, Roberta Ellen is an individual health care provider with primary practice located at 579 Buck Island Rd , West Yarmouth MA 02673-3200. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Jordan, Roberta Ellen can be contacted via phone (508) 957-7007.

Contact Information

Primary practice address
579 Buck Island Rd West Yarmouth MA 02673-3200
Fax: (508) 790-8116
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 118300 Massachusetts

Profile Details

NPI number 1962986869
LBN Legal business name Jordan, Roberta Ellen
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 18th, 2018
Last updated Sep 18th, 2018 - about 6 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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