Perlow, Jordan H.

Perlow, Jordan H. is an individual health care provider with primary practice located at 901 E Willetta St , Phoenix AZ 85006-2727. He recently has only one registered license in Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, which is considered as his primary health care specialty. Perlow, Jordan H. can be contacted via phone (602) 239-2647.

Contact Information

Primary practice address
901 E Willetta St Phoenix AZ 85006-2727
Fax: (602) 239-5295
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X 20808 Arizona

Profile Details

NPI number 1255390936
LBN Legal business name Perlow, Jordan H.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2006
Last updated Jan 31st, 2012 - about 12 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 1255390936 NPPES
Arizona MEDICAID 112475
Arizona MEDICAID U3715

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