Payne, Jordan

Payne, Jordan is an individual health care provider with primary practice located at 8101 Boat Club Rd Ste 130 , Fort Worth TX 76179-3687. He recently has only one registered license in Chiropractic Providers / Rehabilitation, which is considered as his primary health care specialty. Payne, Jordan can be contacted via phone (800) 404-6050.

Contact Information

Primary practice address
8101 Boat Club Rd Ste 130 Fort Worth TX 76179-3687
Fax: (866) 313-3397
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Rehabilitation 111NR0400X 13367 Texas

Profile Details

NPI number 1942650783
LBN Legal business name Payne, Jordan
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2016
Last updated May 16th, 2024 - about 6 months 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 1942650783 NPPES
Texas Other 13367 CHIROPRACTIC LICENSE

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