Jordan, Beth A

Jordan, Beth A is an individual health care provider with primary practice located at 3111 Electric Ave , Port Huron MI 48060-8127. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Jordan, Beth A can be contacted via phone (810) 985-8900.

Contact Information

Primary practice address
3111 Electric Ave Port Huron MI 48060-8127
Phone: (810) 985-8900
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X 6401013591 Michigan
Behavioral Health & Social Service Providers / Professional 101YP2500X 6401013591 Michigan

Profile Details

NPI number 1104262427
LBN Legal business name Jordan, Beth A
Credentials LLPC
Entity Individual
Sole proprietor 1 No
Enumeration date May 14th, 2013
Last updated Apr 29th, 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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