Jordan, Christine Widdows
Jordan, Christine Widdows is an individual health care provider with primary practice located at 200 West Esplanade Avenue , Kenner LA 70065. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Jordan, Christine Widdows can be contacted via phone (504) 842-7588.Contact Information
Primary practice address
200 West Esplanade Avenue
Kenner LA 70065
Phone: (504) 842-7588
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | MD1257312 | Louisiana |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | MD.12573R | Louisiana |
Profile Details
| NPI number | 1457395642 |
|---|---|
| LBN Legal business name | Jordan, Christine Widdows |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2006 |
| Last updated | Nov 20th, 2008 - about 17 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 | 1457395642 | NPPES |
| Louisiana | MEDICAID | 1545741 | |
| Louisiana | MEDICAID | 01830767 |
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