Nash, Jordan A

Nash, Jordan A is an individual health care provider with primary practice located at 111 Great Teays Blvd , Scott Depot WV 25560-9548. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Nash, Jordan A can be contacted via phone (304) 757-8459.

Contact Information

Primary practice address
111 Great Teays Blvd Scott Depot WV 25560-9548
Phone: (304) 757-8459
Fax: (304) 757-6904
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 24824 West Virginia

Profile Details

NPI number 1437384161
LBN Legal business name Nash, Jordan A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2009
Last updated Nov 12th, 2020 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1437384161 NPPES
Ohio MEDICAID 0075746
Ohio MEDICAID 3810023601
Ohio MEDICAID 7100239930

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