Jordan, Russell Louis

Jordan, Russell Louis is an sole proprietor health care provider with primary practice located at 4001 King Ave , Corcoran CA 93212-9611. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Jordan, Russell Louis can be contacted via phone (559) 992-8800.

Contact Information

Primary practice address
4001 King Ave Corcoran CA 93212-9611
Phone: (559) 992-8800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY9800 California

Profile Details

NPI number 1881934230
LBN Legal business name Jordan, Russell Louis
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 21st, 2013
Last updated Feb 21st, 2013 - about 11 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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