Lakes, Jordan Tyler

Lakes, Jordan Tyler is an sole proprietor health care provider with primary practice located at 9190 Priority Way West Dr , Indianapolis IN 46240-6426. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Lakes, Jordan Tyler can be contacted via phone (317) 805-4963.

Contact Information

Primary practice address
9190 Priority Way West Dr Indianapolis IN 46240-6426
Phone: (317) 805-4963
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X 31006064A Indiana

Profile Details

NPI number 1962856104
LBN Legal business name Lakes, Jordan Tyler
Credentials MSOT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 13th, 2016
Last updated Apr 13th, 2016 - about 9 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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