Jefferson, Jordan Lewis

Jefferson, Jordan Lewis is an individual health care provider with primary practice located at 56-660 Kamehameha Hwy , Kahuku HI 96731-2210. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Jefferson, Jordan Lewis can be contacted via phone (808) 293-7555.

Contact Information

Primary practice address
56-660 Kamehameha Hwy Kahuku HI 96731-2210
Phone: (808) 293-7555
Fax: (808) 293-7196
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1285284232
LBN Legal business name Jefferson, Jordan Lewis
Credentials Associate of Arts (AA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 11th, 2019
Last updated Sep 11th, 2019 - about 7 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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