Jordan, Shane

Jordan, Shane is an sole proprietor health care provider with primary practice located at 1285 Beacon St , Brookline MA 02446-5284. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Jordan, Shane can be contacted via phone (617) 751-6205.

Contact Information

Primary practice address
1285 Beacon St Brookline MA 02446-5284
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA6034 Massachusetts

Profile Details

NPI number 1881132132
LBN Legal business name Jordan, Shane
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 7th, 2017
Last updated Feb 7th, 2017 - 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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