Ukena, Jordan L
Ukena, Jordan L is an individual health care provider with primary practice located at 5501 Nw 8Th Street Suite 500, Johnston IA 50131. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Ukena, Jordan L can be contacted via phone (515) 270-0494.Contact Information
Primary practice address
5501 Nw 8Th Street Suite 500
Johnston IA 50131
Phone: (515) 270-0494
Fax: (515) 270-6463
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 108457 | Iowa |
Profile Details
| NPI number | 1013584549 |
|---|---|
| LBN Legal business name | Ukena, Jordan L |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 3rd, 2021 |
| Last updated | Jun 3rd, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013584549 | NPPES |
| Iowa | Other | 108457 | STATE LICENSE |
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