Jorden, Jeffrey R

Jorden, Jeffrey R is an individual health care provider with primary practice located at 401 E Chestnut St Suite 710, Louisville KY 40202. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Colon & Rectal Surgery is his primary health care specialty. Jorden, Jeffrey R can be contacted via phone (502) 583-8303.

Contact Information

Primary practice address
401 E Chestnut St Suite 710 Louisville KY 40202
Phone: (502) 583-8303
Fax: (502) 584-0302
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 39342 Kentucky
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 39342 Kentucky

Profile Details

NPI number 1902876782
LBN Legal business name Jorden, Jeffrey R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Sep 6th, 2018 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902876782 NPPES
Indiana MEDICAID 200525170A
Indiana Other 50007154
Indiana MEDICAID 64101447

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