Firestone, Jordan Aaron
Firestone, Jordan Aaron is an sole proprietor health care provider with primary practice located at 237 Escuela Ave Unit B , Mountain View CA 94040-1812. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Occupational Medicine, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Occupational Medicine is his primary health care specialty. Firestone, Jordan Aaron can be contacted via phone (650) 554-0844.Contact Information
Primary practice address
237 Escuela Ave Unit B
Mountain View CA 94040-1812
Phone: (650) 554-0844
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Occupational Medicine | 2083X0100X | C54699 | California |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | MD00035480 | Washington |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | C54699 | California |
| Allopathic & Osteopathic Physicians / Occupational Medicine | 2083X0100X | MD00035480 | Washington |
Profile Details
| NPI number | 1124108196 |
|---|---|
| LBN Legal business name | Firestone, Jordan Aaron |
| Credentials | MD, PHD, MPH |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 16th, 2006 |
| Last updated | Nov 16th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124108196 | NPPES |
| Washington | Other | 130025374 | RAILROAD MEDICARE |
| Washington | MEDICAID | 8257313 | RAILROAD MEDICARE |
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