Fink, Jordan

Fink, Jordan is an individual health care provider with primary practice located at 130 S Lafayette St , Macomb IL 61455-2289. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Fink, Jordan can be contacted via phone (309) 836-2500.

Contact Information

Primary practice address
130 S Lafayette St Macomb IL 61455-2289
Phone: (309) 836-2500
Fax: (309) 836-2501
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 03745 Iowa
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 070-014348 Illinois

Profile Details

NPI number 1467468033
LBN Legal business name Fink, Jordan
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2006
Last updated Oct 14th, 2010 - about 16 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 1467468033 NPPES
Illinois Other 070-014348 IL LICENSE NO
Illinois Other 03745 IL LICENSE NO

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