Jennewine, Jordan

Jennewine, Jordan is an individual health care provider with primary practice located at 14455 Clay Terrace Blvd Ste A&B , Carmel IN 46032-3605. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Jennewine, Jordan can be contacted via phone (937) 344-3814.

Contact Information

Primary practice address
14455 Clay Terrace Blvd Ste A&B Carmel IN 46032-3605
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X LD.08304 Ohio

Profile Details

NPI number 1467970020
LBN Legal business name Jennewine, Jordan
Credentials MS, RD, LD, CSSD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 5th, 2017
Last updated Jun 15th, 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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