Jordan, Sarah Elizabeth

Jordan, Sarah Elizabeth is an sole proprietor health care provider with primary practice located at 400 Old Main Dr , Summersville WV 26651-1360. She recently has only one registered license in Nursing Service Providers / School, which is considered as her primary health care specialty. Jordan, Sarah Elizabeth can be contacted via phone (304) 872-3611.

Contact Information

Primary practice address
400 Old Main Dr Summersville WV 26651-1360
Fax: (304) 872-4626
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / School 163WS0200X 19724 West Virginia

Profile Details

NPI number 1396946810
LBN Legal business name Jordan, Sarah Elizabeth
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 31st, 2007
Last updated Jul 9th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1396946810 NPPES
West Virginia MEDICAID 0161623000

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