Mann, Jordan L

Mann, Jordan L is an individual health care provider with primary practice located at 701 N 1St St Dept Of Pathology, Springfield IL 62781. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Mann, Jordan L can be contacted via phone (217) 788-3060.

Contact Information

Primary practice address
701 N 1St St Dept Of Pathology Springfield IL 62781
Phone: (217) 788-3060
Fax: (217) 788-5577
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X Illinois

Profile Details

NPI number 1780690214
LBN Legal business name Mann, Jordan L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2006
Last updated Jul 8th, 2007 - about 18 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 1780690214 NPPES
Illinois MEDICAID 0360692741

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