Lane, Jordan

Lane, Jordan is an sole proprietor health care provider with primary practice located at 8747 Alexandria Dr , North Charleston SC 29420-7815. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is his primary health care specialty. Lane, Jordan can be contacted via phone (843) 751-7449.

Contact Information

Primary practice address
8747 Alexandria Dr North Charleston SC 29420-7815
Phone: (843) 751-7449
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X South Carolina
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1811443997
LBN Legal business name Lane, Jordan
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 29th, 2016
Last updated Aug 29th, 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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