Jordan, Anthony Scott

Jordan, Anthony Scott is an individual health care provider with primary practice located at 12080 Mcmillan Rd , Boise ID 83713-2462. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Jordan, Anthony Scott can be contacted via phone (208) 375-4955.

Contact Information

Primary practice address
12080 Mcmillan Rd Boise ID 83713-2462
Phone: (208) 375-4955
Fax: (208) 375-5568
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01056364A Indiana
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X M-9584 Idaho

Profile Details

NPI number 1144212549
LBN Legal business name Jordan, Anthony Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2005
Last updated Jan 23rd, 2014 - about 12 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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