Radandt, Jordan James

Radandt, Jordan James is an individual health care provider with primary practice located at 3130 S Highland Dr # B4 , Salt Lake City UT 84106-3095. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Podiatric Medicine & Surgery Service Providers / Podiatrist. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Radandt, Jordan James can be contacted via phone (801) 253-6886.

Contact Information

Primary practice address
3130 S Highland Dr # B4 Salt Lake City UT 84106-3095
Phone: (801) 253-6886
Fax: (801) 253-6888
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Utah
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 11313930-0501 Utah

Profile Details

NPI number 1053801324
LBN Legal business name Radandt, Jordan James
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2018
Last updated Sep 14th, 2021 - about 4 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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