Jordan, Roger L

Jordan, Roger L is an individual health care provider with primary practice located at 609 4J Ct , Gillette WY 82716-4135. He recently has only one registered license in Eye and Vision Services Providers / Corneal and Contact Management, which is considered as his primary health care specialty. Jordan, Roger L can be contacted via phone (307) 682-2020.

Contact Information

Primary practice address
609 4J Ct Gillette WY 82716-4135
Phone: (307) 682-2020
Fax: (307) 682-5656
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 142-T Wyoming

Profile Details

NPI number 1972537561
LBN Legal business name Jordan, Roger L
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Jul 8th, 2007 - about 17 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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