Jordan, David W

Jordan, David W is an sole proprietor health care provider with primary practice located at 1 Medical Park Dr , Helena MT 59601-8022. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Jordan, David W can be contacted via phone (406) 443-3457.

Contact Information

Primary practice address
1 Medical Park Dr Helena MT 59601-8022
Phone: (406) 443-3457
Fax: (406) 443-7201
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4325 Montana

Profile Details

NPI number 1386633378
LBN Legal business name Jordan, David W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 21st, 2005
Last updated Jul 21st, 2009 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386633378 NPPES
Other P00089863 PALMETTO GBA
Other 0000012340 PALMETTO GBA
MEDICAID 055094 PALMETTO GBA
Other 9989778 PALMETTO GBA

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