Mecca, Jordan Rose

Mecca, Jordan Rose is an individual health care provider with primary practice located at 6355 Walker Lane Suite 308, Alexandria VA 22310-3247. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Mecca, Jordan Rose can be contacted via phone (703) 313-7700.

Contact Information

Primary practice address
6355 Walker Lane Suite 308 Alexandria VA 22310-3247
Phone: (703) 313-7700
Fax: (703) 313-0178
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 2201001856 Virginia

Profile Details

NPI number 1134883093
LBN Legal business name Mecca, Jordan Rose
Credentials AUD
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2021
Last updated Oct 12th, 2023 - about last year

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 1134883093 NPPES
Virginia MEDICAID 1134883093
Virginia MEDICAID 30016311390001

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