Maxwell, Jordan Michael
Maxwell, Jordan Michael is an individual health care provider with primary practice located at 9849 Kenworthy St , El Paso TX 79924-4402. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Maxwell, Jordan Michael can be contacted via phone (915) 215-5500.Contact Information
Primary practice address
9849 Kenworthy St
El Paso TX 79924-4402
Phone: (915) 215-5500
Fax: (915) 215-8655
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | V1186 | Texas |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | BP10085708 | Texas |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | V1186 | Texas |
Profile Details
NPI number | 1194354217 |
---|---|
LBN Legal business name | Maxwell, Jordan Michael |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 2nd, 2020 |
Last updated | Jun 18th, 2024 - about 3 months 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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