Michiel, Jordan

Michiel, Jordan is an individual health care provider with primary practice located at 25 Weichers St , Lake Ronkonkoma NY 11779-3325. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Michiel, Jordan can be contacted via phone (631) 922-4617.

Contact Information

Primary practice address
25 Weichers St Lake Ronkonkoma NY 11779-3325
Phone: (631) 922-4617
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 020649 New York

Profile Details

NPI number 1114466216
LBN Legal business name Michiel, Jordan
Credentials PA-C, MPAS
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2017
Last updated Feb 22nd, 2017 - about 7 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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