Jordan, Frank Edwin

Jordan, Frank Edwin is an individual health care provider with primary practice located at 160C W University Pkwy , Jackson TN 38305-1667. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Jordan, Frank Edwin can be contacted via phone (731) 660-5116.

Contact Information

Primary practice address
160C W University Pkwy Jackson TN 38305-1667
Fax: (731) 554-0306
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X MD14614 Tennessee

Profile Details

NPI number 1841286853
LBN Legal business name Jordan, Frank Edwin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2005
Last updated Aug 14th, 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 1841286853 NPPES
Tennessee MEDICAID 3005044

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