Jordan, Roderick B

Jordan, Roderick B is an individual health care provider with primary practice located at 2500 Metrohealth Dr Mhmc-Surgery/Plastic, Cleveland OH 44109-1900. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Jordan, Roderick B can be contacted via phone (216) 778-4450.

Contact Information

Primary practice address
2500 Metrohealth Dr Mhmc-Surgery/Plastic Cleveland OH 44109-1900
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 35049591 Ohio

Profile Details

NPI number 1992737977
LBN Legal business name Jordan, Roderick B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Jul 8th, 2007 - about 18 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 1992737977 NPPES
Ohio MEDICAID 0702743

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