Jordan, Charlotte F.

Jordan, Charlotte F. is an sole proprietor health care provider with primary practice located at 4611 Western Boulevard , Raleigh NC 27606. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Jordan, Charlotte F. can be contacted via phone (919) 219-8534.

Contact Information

Primary practice address
4611 Western Boulevard Raleigh NC 27606
Phone: (919) 219-8534
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X C001784 North Carolina

Profile Details

NPI number 1336233048
LBN Legal business name Jordan, Charlotte F.
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 3rd, 2006
Last updated Jul 8th, 2007 - about 19 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 1336233048 NPPES
North Carolina MEDICAID 6003118

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