Herbert, Jordan Timothy
Herbert, Jordan Timothy is an sole proprietor health care provider with primary practice located at 32905 W 12 Mile Rd Ste 410 , Farmington Hills MI 48334-3346. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Herbert, Jordan Timothy can be contacted via phone (248) 957-9184.Contact Information
Primary practice address
32905 W 12 Mile Rd Ste 410
Farmington Hills MI 48334-3346
Phone: (248) 957-9184
Fax: (248) 957-9185
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 4704293610 | Michigan |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 4704293610 | Michigan |
Profile Details
| NPI number | 1073058475 |
|---|---|
| LBN Legal business name | Herbert, Jordan Timothy |
| Credentials | AGPCNP-BC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 21st, 2016 |
| Last updated | Apr 11th, 2022 - about 4 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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