Jordan, Susan E.

Jordan, Susan E. is an individual health care provider with primary practice located at 707 N Logan Avenue Danville Polyclinic, Ltd., Danville IL 61832-4360. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Jordan, Susan E. can be contacted via phone (217) 477-4720.

Contact Information

Primary practice address
707 N Logan Avenue Danville Polyclinic, Ltd. Danville IL 61832-4360
Phone: (217) 477-4720
Fax: (217) 477-4758
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209004797 Illinois

Profile Details

NPI number 1003913799
LBN Legal business name Jordan, Susan E.
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 17th, 2006
Last updated Jan 5th, 2015 - about 9 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 1003913799 NPPES
Illinois MEDICAID 209004797

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