Jordan, Stuart H

Jordan, Stuart H is an individual health care provider with primary practice located at 2950 Village Dr , Fayetteville NC 28304-3815. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Jordan, Stuart H can be contacted via phone (910) 323-3301.

Contact Information

Primary practice address
2950 Village Dr Fayetteville NC 28304-3815
Fax: (910) 323-4207
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 32076 North Carolina

Profile Details

NPI number 1871596031
LBN Legal business name Jordan, Stuart H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Jul 8th, 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 1871596031 NPPES
North Carolina Other 4748A BCBS
North Carolina MEDICAID 894748A BCBS

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