Fleishhacker, Jordan F

Fleishhacker, Jordan F is an individual health care provider with primary practice located at 1650 Cochrane Cir Bldg 7505, Room 163, Fort Carson CO 80913-4604. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Fleishhacker, Jordan F can be contacted via phone (719) 524-7355.

Contact Information

Primary practice address
1650 Cochrane Cir Bldg 7505, Room 163 Fort Carson CO 80913-4604
Phone: (719) 524-7355
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 192315-1 New York

Profile Details

NPI number 1336172048
LBN Legal business name Fleishhacker, Jordan F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2006
Last updated May 13th, 2014 - about 12 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 1336172048 NPPES
Arizona MEDICAID 942088
Arizona MEDICAID 89905369

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