Jordan, James William

Jordan, James William is an individual health care provider with primary practice located at 1321 Colby Ave Fl 3 , Everett WA 98201-1665. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Jordan, James William can be contacted via phone (425) 261-2000.

Contact Information

Primary practice address
1321 Colby Ave Fl 3 Everett WA 98201-1665
Fax: (425) 261-4078
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 57.008958 Ohio
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MD60251434 Washington

Profile Details

NPI number 1417156993
LBN Legal business name Jordan, James William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2007
Last updated Jun 2nd, 2021 - about 5 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 1417156993 NPPES
Washington MEDICAID 2015739
Washington MEDICAID 2801463

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