Jordan, Elaine R
Jordan, Elaine R is an individual health care provider with primary practice located at 3999 Fort Campbell Blvd , Hopkinsville KY 42240-4929. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Jordan, Elaine R can be contacted via phone (270) 886-2205.Contact Information
Primary practice address
3999 Fort Campbell Blvd
Hopkinsville KY 42240-4929
Phone: (270) 886-2205
Fax: (270) 886-0392
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 1713 | Kentucky |
Profile Details
| NPI number | 1942625793 |
|---|---|
| LBN Legal business name | Jordan, Elaine R |
| Credentials | LPCA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 3rd, 2014 |
| Last updated | Mar 3rd, 2014 - about 12 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 | 1942625793 | NPPES |
| Kentucky | MEDICAID | 30602015 |
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