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
Phone: (508) 957-7007
Fax: (508) 790-8116
Website:
Health care specialties
| Specialty | Code | License # | 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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