Jordan, Sheldon E
Jordan, Sheldon E is an individual health care provider with primary practice located at 2811 Wilshire Blvd Ste 790, Santa Monica CA 90403-4805. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Pain Medicine, which is considered as his primary health care specialty. Jordan, Sheldon E can be contacted via phone (310) 829-5968.Contact Information
Primary practice address
2811 Wilshire Blvd Ste 790
Santa Monica CA 90403-4805
Phone: (310) 829-5968
Fax: (310) 453-3685
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | G38150 | California |
Profile Details
| NPI number | 1316941305 |
|---|---|
| LBN Legal business name | Jordan, Sheldon E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 8th, 2005 |
| Last updated | Jan 6th, 2010 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316941305 | NPPES |
| California | Other | RHC 148163 | FLUOROSCOPY OPERATOR PERM |
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