Smith, Jordan
Smith, Jordan is an sole proprietor health care provider with primary practice located at 9500 Mentor Ave Ste 100 , Mentor OH 44060-8702. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Smith, Jordan can be contacted via phone (440) 352-4880.Contact Information
Primary practice address
9500 Mentor Ave Ste 100
Mentor OH 44060-8702
Phone: (440) 352-4880
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 004178 | Ohio |
Profile Details
| NPI number | 1932507092 |
|---|---|
| LBN Legal business name | Smith, Jordan |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 5th, 2014 |
| Last updated | Mar 25th, 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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