Cormier, Jordan Joseph
Cormier, Jordan Joseph is an individual health care provider with primary practice located at 2330 Desoto St , Idaho Falls ID 83404-7570. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Cormier, Jordan Joseph can be contacted via phone (208) 552-4909.Contact Information
Primary practice address
2330 Desoto St
Idaho Falls ID 83404-7570
Phone: (208) 552-4909
Fax: (208) 522-6101
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sleep Medicine | 207RS0012X | PA1568 | Idaho |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | PA-1568 | Idaho |
Profile Details
| NPI number | 1073027389 |
|---|---|
| LBN Legal business name | Cormier, Jordan Joseph |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 22nd, 2017 |
| Last updated | Nov 22nd, 2017 - about 9 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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