Minter-Jordan, Myechia

Minter-Jordan, Myechia is an individual health care provider with primary practice located at 55 Dimock St , Roxbury MA 02119-1029. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Minter-Jordan, Myechia can be contacted via phone (617) 442-8800.

Contact Information

Primary practice address
55 Dimock St Roxbury MA 02119-1029
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 230963 Massachusetts

Profile Details

NPI number 1497705628
LBN Legal business name Minter-Jordan, Myechia
Credentials M.D., MBA
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Jun 1st, 2010 - about 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1497705628 NPPES
Maryland MEDICAID 803402800

Popular Providers