Extine, Jordan

Extine, Jordan is an individual health care provider with primary practice located at 3620 W White River Blvd , Muncie IN 47304-4286. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Extine, Jordan can be contacted via phone (765) 288-1928.

Contact Information

Primary practice address
3620 W White River Blvd Muncie IN 47304-4286
Phone: (765) 288-1928
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1295219160
LBN Legal business name Extine, Jordan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 18th, 2018
Last updated Sep 18th, 2018 - about 8 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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