Jordan, Susan Mary
Jordan, Susan Mary is an individual health care provider with primary practice located at 2511 M Ave Suite B, Anacortes WA 98221-3897. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Jordan, Susan Mary can be contacted via phone (360) 299-4211.Contact Information
Primary practice address
2511 M Ave Suite B
Anacortes WA 98221-3897
Phone: (360) 299-4211
Fax: (360) 299-4213
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA10005226 | Washington |
Profile Details
| NPI number | 1033289012 |
|---|---|
| LBN Legal business name | Jordan, Susan Mary |
| Credentials | PAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 8th, 2006 |
| Last updated | Apr 18th, 2019 - about 6 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 | 1033289012 | NPPES |
| Arizona | MEDICAID | 490970 |
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