Jordan, Sara M

Jordan, Sara M is an individual health care provider with primary practice located at 2400 Unser Blvd Se 1St Floor, Tower 2, Rio Rancho NM 87124-4740. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gynecologic Oncology, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Gynecologic Oncology is her primary health care specialty. Jordan, Sara M can be contacted via phone (505) 559-6100.

Contact Information

Primary practice address
2400 Unser Blvd Se 1St Floor, Tower 2 Rio Rancho NM 87124-4740
Phone: (505) 559-6100
Fax: (505) 462-8792
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X MD2014-0034 New Mexico
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD2014-0034 New Mexico

Profile Details

NPI number 1902085822
LBN Legal business name Jordan, Sara M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2007
Last updated Feb 10th, 2016 - about 8 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 1902085822 NPPES
New Mexico MEDICAID 59081864

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