Blaine, Jordan

Blaine, Jordan is an individual health care provider with primary practice located at 4900 E Chapman Ave Unit 103 , Orange CA 92869-4140. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Blaine, Jordan can be contacted via phone (323) 365-6312.

Contact Information

Primary practice address
4900 E Chapman Ave Unit 103 Orange CA 92869-4140
Phone: (323) 365-6312
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 95014481 California

Profile Details

NPI number 1093171480
LBN Legal business name Blaine, Jordan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 14th, 2016
Last updated May 6th, 2020 - 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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