Whitaker, Jordan
Whitaker, Jordan is an sole proprietor health care provider with primary practice located at 10 Medical Blvd , Hattiesburg MS 39401-7230. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Whitaker, Jordan can be contacted via phone (601) 543-0310.Contact Information
Primary practice address
10 Medical Blvd
Hattiesburg MS 39401-7230
Phone: (601) 543-0310
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 2546 | Mississippi |
Profile Details
| NPI number | 1295004174 |
|---|---|
| LBN Legal business name | Whitaker, Jordan |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 21st, 2011 |
| Last updated | Dec 21st, 2011 - about 14 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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