Jordan, Stacey Lynn

Jordan, Stacey Lynn is an individual health care provider with primary practice located at 441 S Western St , Amarillo TX 79106-8555. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist is his primary health care specialty. Jordan, Stacey Lynn can be contacted via phone (806) 353-7276.

Contact Information

Primary practice address
441 S Western St Amarillo TX 79106-8555
Phone: (806) 353-7276
Fax: (806) 353-7539
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist 222Z00000X 488 Texas
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist 224P00000X 488 Texas

Profile Details

NPI number 1396177069
LBN Legal business name Jordan, Stacey Lynn
Credentials LPO, CPO, BOC OP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2013
Last updated Aug 5th, 2013 - about 12 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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