Logan, Jordan

Logan, Jordan is an sole proprietor health care provider with primary practice located at 4150 Darley Ave Ste 6 , Boulder CO 80305-6537. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Logan, Jordan can be contacted via phone (303) 720-6581.

Contact Information

Primary practice address
4150 Darley Ave Ste 6 Boulder CO 80305-6537
Phone: (303) 720-6581
Fax: (303) 569-6069
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 0190438 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X APN.0991445-NP Colorado

Profile Details

NPI number 1184053324
LBN Legal business name Logan, Jordan
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 7th, 2013
Last updated Jan 7th, 2022 - about 3 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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