Van De Vere, Jordan Michael
Van De Vere, Jordan Michael is an individual health care provider with primary practice located at 4615 N Lamar Blvd Ste 305 , Austin TX 78751-2357. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pedorthist, which is considered as his primary health care specialty. Van De Vere, Jordan Michael can be contacted via phone (512) 476-5110.Contact Information
Primary practice address
4615 N Lamar Blvd Ste 305
Austin TX 78751-2357
Phone: (512) 476-5110
Fax: (512) 476-5178
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pedorthist | 224L00000X | Texas |
Profile Details
| NPI number | 1467042879 |
|---|---|
| LBN Legal business name | Van De Vere, Jordan Michael |
| Credentials | C. PED |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 20th, 2021 |
| Last updated | Jan 20th, 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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