Moehn, Jordan

Moehn, Jordan is an individual health care provider with primary practice located at 633 Prairie Pkwy , Fond Du Lac WI 54935. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Student, Health Care / Student in an Organized Health Care Education/Training Program. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer is his primary health care specialty. Moehn, Jordan can be contacted via phone (920) 539-5417.

Contact Information

Primary practice address
633 Prairie Pkwy Fond Du Lac WI 54935
Phone: (920) 539-5417
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 2141 Wisconsin

Profile Details

NPI number 1184150021
LBN Legal business name Moehn, Jordan
Credentials MS, LAT, ATC
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2017
Last updated Aug 7th, 2018 - about 6 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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