Clark, Jordan Barton

Clark, Jordan Barton is an sole proprietor health care provider with primary practice located at 1462 S 231St Ln , Buckeye AZ 85326-6131. He recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as his primary health care specialty. Clark, Jordan Barton can be contacted via phone (623) 327-0931.

Contact Information

Primary practice address
1462 S 231St Ln Buckeye AZ 85326-6131
Phone: (623) 327-0931
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP1347 Arizona

Profile Details

NPI number 1679508345
LBN Legal business name Clark, Jordan Barton
Credentials M.S., CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 11th, 2006
Last updated Jul 8th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1679508345 NPPES
Arizona MEDICAID 644535

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