Loeffelholz, Jordan

Loeffelholz, Jordan is an sole proprietor health care provider with primary practice located at 1500 S Main St , Fort Worth TX 76104-4917. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, Physician Assistants & Advanced Practice Nursing Providers / Neonatal. Physician Assistants & Advanced Practice Nursing Providers / Neonatal is her primary health care specialty. Loeffelholz, Jordan can be contacted via phone (817) 702-4788.

Contact Information

Primary practice address
1500 S Main St Fort Worth TX 76104-4917
Phone: (817) 702-4788
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 2080N0001X Texas
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X AP1018008 Texas

Profile Details

NPI number 1518567395
LBN Legal business name Loeffelholz, Jordan
Credentials NNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 29th, 2020
Last updated Mar 30th, 2021 - about 4 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 1518567395 NPPES
Texas Other 1018008 APRN LICENSE NUMBER

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