Jordan, John S.
Jordan, John S. is an sole proprietor health care provider with primary practice located at 300 N Main St Ste C , Crown Point IN 46307-3281. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Jordan, John S. can be contacted via phone (219) 662-7711.Contact Information
Primary practice address
300 N Main St Ste C
Crown Point IN 46307-3281
Phone: (219) 662-7711
Fax: (219) 662-7740
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 08001394 | Indiana |
Profile Details
| NPI number | 1811047566 |
|---|---|
| LBN Legal business name | Jordan, John S. |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 12th, 2007 |
| Last updated | Nov 22nd, 2011 - about 15 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 | 1811047566 | NPPES |
| Indiana | MEDICAID | 100147680 | |
| Indiana | Other | 000000184405 | |
| Indiana | MEDICAID | 351875464100 |
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