Perry, Jordan
Perry, Jordan is an individual health care provider with primary practice located at 987 R C Hoag Dr , Salamanca NY 14779-1365. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Perry, Jordan can be contacted via phone (716) 945-5894.Contact Information
Primary practice address
987 R C Hoag Dr
Salamanca NY 14779-1365
Phone: (716) 945-5894
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 63012 | Wisconsin |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 263118 | New York |
Profile Details
| NPI number | 1033441019 |
|---|---|
| LBN Legal business name | Perry, Jordan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 2nd, 2010 |
| Last updated | Jun 12th, 2024 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033441019 | NPPES |
| New York | MEDICAID | 463483745 |
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