Jordan, Thomas
Jordan, Thomas is an sole proprietor health care provider with primary practice located at 14717 S Minuteman Dr , Draper UT 84020-9549. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Jordan, Thomas can be contacted via phone (435) 835-8293.Contact Information
Primary practice address
14717 S Minuteman Dr
Draper UT 84020-9549
Phone: (435) 835-8293
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | 9100065-3102 | Utah |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 9100065-4405 | Utah |
Profile Details
| NPI number | 1134762594 |
|---|---|
| LBN Legal business name | Jordan, Thomas |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 17th, 2019 |
| Last updated | Jul 15th, 2020 - about 4 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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