Cordon, Jared

Cordon, Jared is an individual health care provider with primary practice located at 430 W Ravine Rd , Kingsport TN 37660-3868. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Cordon, Jared can be contacted via phone (423) 245-3161.

Contact Information

Primary practice address
430 W Ravine Rd Kingsport TN 37660-3868
Phone: (423) 245-3161
Fax: (423) 857-8129
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 476918 Tennessee

Profile Details

NPI number 1649409251
LBN Legal business name Cordon, Jared
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2009
Last updated Apr 2nd, 2020 - about 5 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 1649409251 NPPES
Tennessee MEDICAID Q047914

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