Vigna, Jordan

Vigna, Jordan is an individual health care provider with primary practice located at 1 Ediz Hook , Port Angeles WA 98362-2201. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Vigna, Jordan can be contacted via phone (360) 417-5984.

Contact Information

Primary practice address
1 Ediz Hook Port Angeles WA 98362-2201
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1760153316
LBN Legal business name Vigna, Jordan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2021
Last updated Sep 23rd, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1760153316 NPPES
Other 1362300750 USCG

Popular Providers