Stoddard, Jordan

Stoddard, Jordan is an individual health care provider with primary practice located at 804 Pancheri Dr , Idaho Falls ID 83402-3344. He recently has 5 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Cardiopulmonary, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic is his primary health care specialty. Stoddard, Jordan can be contacted via phone (208) 403-7422.

Contact Information

Primary practice address
804 Pancheri Dr Idaho Falls ID 83402-3344
Phone: (208) 403-7422
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports 2251S0007X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X PT-3572 Idaho
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Cardiopulmonary 2251C2600X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics 2251G0304X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X

Profile Details

NPI number 1073115382
LBN Legal business name Stoddard, Jordan
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 11th, 2020
Last updated Dec 3rd, 2020 - 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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