Jordan, Wade Thomas
Jordan, Wade Thomas is an individual health care provider with primary practice located at 1911 S National Ave Suite 301, Springfield MO 65804-2219. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Jordan, Wade Thomas can be contacted via phone (417) 886-5000.Contact Information
Primary practice address
1911 S National Ave Suite 301
Springfield MO 65804-2219
Phone: (417) 886-5000
Fax: (417) 886-1100
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | R4P99 | Missouri |
Profile Details
| NPI number | 1326135781 |
|---|---|
| LBN Legal business name | Jordan, Wade Thomas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 6th, 2006 |
| Last updated | Dec 1st, 2009 - about 15 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 | 1326135781 | NPPES |
| Arkansas | MEDICAID | 122036001 | |
| Arkansas | Other | 390003925 | |
| Arkansas | MEDICAID | 203047915 | |
| Arkansas | Other | 153509 | |
| Arkansas | Other | 25183 | |
| Arkansas | Other | 002012599 |
Popular Providers
-
Sarfaraz, Nimra
3801 S National Ave , Springfield MO 65807-5210 -
Cherla, Gautam
1001 E Primrose St , Springfield MO 65807-5155 -
Nayar, Sailesh
1001 E Primrose St , Springfield MO 65807-5155 -
Aslam, Abid
3860 E Turtle Hatch Rd , Springfield MO 65809-3747 -
Garcia, Samir S.
1001 E Primrose St , Springfield MO 65807-5155 -
Hoerschgen, Ethan Thomas
1911 S National Ave Suite 301, Springfield MO 65804-2213 -
Sommerfeld, David Lee
1911 S National Ave Suite 301, Springfield MO 65804-2219 -
Woody, Susan Alexandria
1911 S National Ave Suite 301, Springfield MO 65804-2219