Knoppert, Jordan

Knoppert, Jordan is an individual health care provider with primary practice located at 1498 13Th Street Nolf Bldg 193, Imperial Beach CA 91932-3798. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Knoppert, Jordan can be contacted via phone (619) 437-9845.

Contact Information

Primary practice address
1498 13Th Street Nolf Bldg 193 Imperial Beach CA 91932-3798
Phone: (619) 437-9845
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1598394975
LBN Legal business name Knoppert, Jordan
Credentials IDC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2020
Last updated Apr 7th, 2020 - about 5 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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