Harrell, Jordan Rae

Harrell, Jordan Rae is an sole proprietor health care provider with primary practice located at 1135 Barclay Cir Se Apt 331B , Marietta GA 30060-2901. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is her primary health care specialty. Harrell, Jordan Rae can be contacted via phone (919) 438-8840.

Contact Information

Primary practice address
1135 Barclay Cir Se Apt 331B Marietta GA 30060-2901
Phone: (919) 438-8840
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1245795715
LBN Legal business name Harrell, Jordan Rae
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 8th, 2019
Last updated Feb 8th, 2019 - about 6 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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