Jordan, Justin T

Jordan, Justin T is an sole proprietor health care provider with primary practice located at 1955 W Frye Rd , Chandler AZ 85224-6282. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Jordan, Justin T can be contacted via phone (480) 728-3000.

Contact Information

Primary practice address
1955 W Frye Rd Chandler AZ 85224-6282
Phone: (480) 728-3000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X A99764 California
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X A99764 California
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 41545 Arizona

Profile Details

NPI number 1487813879
LBN Legal business name Jordan, Justin T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 2nd, 2008
Last updated Mar 7th, 2023 - about 2 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1487813879 NPPES
Arizona MEDICAID 438691
Arizona Other P01041174
Arizona Other P00787370

Popular Providers