Jordan, Joan T

Jordan, Joan T is an individual health care provider with primary practice located at 530 New Waverly Pl Ste 101, Cary NC 27518-7414. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Jordan, Joan T can be contacted via phone (919) 233-3959.

Contact Information

Primary practice address
530 New Waverly Pl Ste 101 Cary NC 27518-7414
Phone: (919) 233-3959
Fax: (919) 233-1003
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 28656 North Carolina

Profile Details

NPI number 1538113311
LBN Legal business name Jordan, Joan T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Sep 11th, 2014 - about 12 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 1538113311 NPPES
North Carolina Other 110238722 RAILROAD MEDICARE PTAN
North Carolina MEDICAID 8947410 RAILROAD MEDICARE PTAN

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