Jordan, Dana L.

Jordan, Dana L. is an individual health care provider with primary practice located at 425 Hunton Rd , El Dorado KS 67042-3015. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Jordan, Dana L. can be contacted via phone (316) 305-3379.

Contact Information

Primary practice address
425 Hunton Rd El Dorado KS 67042-3015
Phone: (316) 305-3379
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1500601 Kansas

Profile Details

NPI number 1578566311
LBN Legal business name Jordan, Dana L.
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated May 29th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1578566311 NPPES
Kansas MEDICAID 100340580C

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