Jordan, Johnny Lee
Jordan, Johnny Lee is an individual health care provider with primary practice located at 4032 M 139 Ste 108 , Saint Joseph MI 49085-8664. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Jordan, Johnny Lee can be contacted via phone (269) 556-1526.Contact Information
Primary practice address
4032 M 139 Ste 108
Saint Joseph MI 49085-8664
Phone: (269) 556-1526
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Peer Specialist | 175T00000X |
Profile Details
| NPI number | 1891359634 |
|---|---|
| LBN Legal business name | Jordan, Johnny Lee |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 26th, 2019 |
| Last updated | Apr 26th, 2019 - about 7 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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