Jordan, Heather Denise
Jordan, Heather Denise is an sole proprietor health care provider with primary practice located at 247 Wyatt Ln , West Jefferson NC 28694-9154. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Jordan, Heather Denise can be contacted via phone (336) 977-6851.Contact Information
Primary practice address
247 Wyatt Ln
West Jefferson NC 28694-9154
Phone: (336) 977-6851
Fax: (336) 384-4500
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 6870 | North Carolina |
Profile Details
| NPI number | 1548312531 |
|---|---|
| LBN Legal business name | Jordan, Heather Denise |
| Credentials | MA, CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 18th, 2007 |
| Last updated | Jul 9th, 2007 - about 19 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 | 1548312531 | NPPES |
| North Carolina | MEDICAID | 7412327 |
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