Jordan, Gerald Stephen

Jordan, Gerald Stephen is an individual health care provider with primary practice located at 1417 Maple St , Cleveland MS 38733-0001. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Jordan, Gerald Stephen can be contacted via phone (662) 846-4300.

Contact Information

Primary practice address
1417 Maple St Cleveland MS 38733-0001
Phone: (662) 846-4300
Fax: (662) 846-4297
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X AT0328 Mississippi

Profile Details

NPI number 1952321184
LBN Legal business name Jordan, Gerald Stephen
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Jul 8th, 2007 - about 18 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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