Jordan, Constance Renee
Jordan, Constance Renee is an individual health care provider with primary practice located at 330 Barclay Ave Ne , Grand Rapids MI 49503-2556. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Jordan, Constance Renee can be contacted via phone (616) 391-8810.Contact Information
Primary practice address
330 Barclay Ave Ne
Grand Rapids MI 49503-2556
Phone: (616) 391-8810
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 4301104546 | Michigan |
Profile Details
| NPI number | 1184005159 |
|---|---|
| LBN Legal business name | Jordan, Constance Renee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2015 |
| Last updated | Jun 15th, 2015 - about 11 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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