Jordan, William D

Jordan, William D is an individual health care provider with primary practice located at 1120 15Th St , Augusta GA 30912-1013. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Jordan, William D can be contacted via phone (706) 721-8623.

Contact Information

Primary practice address
1120 15Th St Augusta GA 30912-1013
Phone: (706) 721-8623
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 14678 Alabama
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 37578 Georgia

Profile Details

NPI number 1134159668
LBN Legal business name Jordan, William D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Jul 12th, 2023 - about last year

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 1134159668 NPPES
Alabama MEDICAID 000027366
Alabama Other 770000637
Alabama Other E92967
Alabama Other 000027366

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