Jordan, Julie

Jordan, Julie is an individual health care provider with primary practice located at 2900 Chancellor Dr , Crestview Hills KY 41017-5427. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Jordan, Julie can be contacted via phone (859) 341-0288.

Contact Information

Primary practice address
2900 Chancellor Dr Crestview Hills KY 41017-5427
Phone: (859) 341-0288
Fax: (859) 363-2140
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 38969 Kentucky
Other Service Providers / Specialist 174400000X 38969 Kentucky

Profile Details

NPI number 1104852201
LBN Legal business name Jordan, Julie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated Mar 18th, 2009 - about 17 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 1104852201 NPPES
Other 310674100 FEDERAL BLACK LUNG
Other 310674100 FEDERAL BLACK LUNG
MEDICAID 64100241 FEDERAL BLACK LUNG
Other 7000160 FEDERAL BLACK LUNG
Other 000000360586 FEDERAL BLACK LUNG
Other 610677107043 FEDERAL BLACK LUNG

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