Petersen, Jordan James
Petersen, Jordan James is an individual health care provider with primary practice located at 10000 Telegraph Rd , Taylor MI 48180-3330. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Petersen, Jordan James can be contacted via phone (313) 295-5000.Contact Information
Primary practice address
10000 Telegraph Rd
Taylor MI 48180-3330
Phone: (313) 295-5000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 5151015319 | Michigan |
Profile Details
NPI number | 1952979163 |
---|---|
LBN Legal business name | Petersen, Jordan James |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 14th, 2021 |
Last updated | Jun 14th, 2021 - about 3 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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