Jordan, Jeffrey Jay

Jordan, Jeffrey Jay is an individual health care provider with primary practice located at 900 Hammond St # A , Bangor ME 04401-4378. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Jordan, Jeffrey Jay can be contacted via phone (207) 947-6743.

Contact Information

Primary practice address
900 Hammond St # A Bangor ME 04401-4378
Phone: (207) 947-6743
Fax: (207) 945-4397
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 014810 Maine

Profile Details

NPI number 1861480246
LBN Legal business name Jordan, Jeffrey Jay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2005
Last updated Jun 7th, 2016 - about 9 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 1861480246 NPPES
Maine MEDICAID 258930099

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