Jordan, Brian Joseph

Jordan, Brian Joseph is an individual health care provider with primary practice located at 1959 Ne Pacific St , Seattle WA 98195-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Jordan, Brian Joseph can be contacted via phone (206) 520-5000.

Contact Information

Primary practice address
1959 Ne Pacific St Seattle WA 98195-0001
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X MD60952498 Washington

Profile Details

NPI number 1457693939
LBN Legal business name Jordan, Brian Joseph
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2013
Last updated Jul 26th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1457693939 NPPES
Washington MEDICAID 1457693939

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