Jordan, Chad
Jordan, Chad is an sole proprietor health care provider with primary practice located at 1100 Logger Ct G-103, Raleigh NC 27609-8525. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Jordan, Chad can be contacted via phone (800) 755-6309.Contact Information
Primary practice address
1100 Logger Ct G-103
Raleigh NC 27609-8525
Phone: (800) 755-6309
Fax: (800) 755-6309
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 1092 | North Carolina |
Profile Details
| NPI number | 1568416733 |
|---|---|
| LBN Legal business name | Jordan, Chad |
| Credentials | LMFT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 20th, 2006 |
| Last updated | Mar 31st, 2011 - about 15 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 | 1568416733 | NPPES |
| North Carolina | Other | 374679 | MHN |
| North Carolina | Other | 141AE | MHN |
| North Carolina | MEDICAID | 6105064 | MHN |
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