Jenkins, Jordan
Jenkins, Jordan is an sole proprietor health care provider with primary practice located at 411 Central Methodist Sq Ste 1 , Fayette MO 65248-1198. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Jenkins, Jordan can be contacted via phone (660) 248-6978.Contact Information
Primary practice address
411 Central Methodist Sq Ste 1
Fayette MO 65248-1198
Phone: (660) 248-6978
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 2020026480 | Missouri |
Profile Details
| NPI number | 1568051035 |
|---|---|
| LBN Legal business name | Jenkins, Jordan |
| Credentials | LAT, ATC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 11th, 2021 |
| Last updated | Jan 11th, 2021 - about 5 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 | 1568051035 | NPPES |
| Missouri | Other | 2020026480 | ATHLETIC TRAINER |
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