Jordan, Stephanie

Jordan, Stephanie is an sole proprietor health care provider with primary practice located at 9500 Campcreek Rd , Lucasville OH 45648. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Jordan, Stephanie can be contacted via phone (740) 981-4844.

Contact Information

Primary practice address
9500 Campcreek Rd Lucasville OH 45648
Phone: (740) 981-4844
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X 2527902 Ohio

Profile Details

NPI number 1720495260
LBN Legal business name Jordan, Stephanie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 16th, 2014
Last updated Jul 20th, 2014 - about 10 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 1720495260 NPPES
Ohio MEDICAID 2527902

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