Toles, Jordan

Toles, Jordan is an individual health care provider with primary practice located at 790 Ridge Rd , Lackawanna NY 14218-1629. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Toles, Jordan can be contacted via phone (716) 248-4371.

Contact Information

Primary practice address
790 Ridge Rd Lackawanna NY 14218-1629
Phone: (716) 248-4371
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1760959407
LBN Legal business name Toles, Jordan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2018
Last updated Oct 31st, 2018 - about 6 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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