Jordan, George W.

Jordan, George W. is an individual health care provider with primary practice located at 632 W Gibson Rd , Woodland CA 95695-5169. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Jordan, George W. can be contacted via phone (530) 666-1631.

Contact Information

Primary practice address
632 W Gibson Rd Woodland CA 95695-5169
Phone: (530) 666-1631
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G10213 California

Profile Details

NPI number 1538172481
LBN Legal business name Jordan, George W.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2006
Last updated Sep 29th, 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 1538172481 NPPES
California MEDICAID 00G102130
California Other 00G102130
California Other 110236890

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