Jordan, Kenneth Wesley
Jordan, Kenneth Wesley is an individual health care provider with primary practice located at 705 North Fraser St , Georgetown SC 29442-0958. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Jordan, Kenneth Wesley can be contacted via phone (843) 235-0546.Contact Information
Primary practice address
705 North Fraser St
Georgetown SC 29442-0958
Phone: (843) 235-0546
Fax: (843) 527-8353
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 3056 | South Carolina |
Profile Details
| NPI number | 1902867252 |
|---|---|
| LBN Legal business name | Jordan, Kenneth Wesley |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 28th, 2006 |
| Last updated | Jul 16th, 2008 - about 18 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 | 1902867252 | NPPES |
| South Carolina | MEDICAID | GCH507 |
Popular Providers
-
Sosnik, Shawn Andrew
1955 Merrick Rd Suite 105, Merrick NY 11566-4642 -
Sykes, Susan Schneiderman
2505 Neudorf Rd , Clemmons NC 27012-9229 -
Owens, James B
2504 Highmarket St , Georgetown SC 29440-2910 -
Johnson, Stephanie Susan
906 Prince St , Georgetown SC 29440-3550 -
Robertson, Jonathan Mitchell
2504 Highmarket St , Georgetown SC 29440-2910 -
Wildermuth, Vicky
829 Front St Ste H , Georgetown SC 29440-3564 -
Gamerman, Marc M
89 W Lee St , Hagerstown MD 21740-6030 -
Sportelli, Vincent V
112 Dewitt St , Syracuse NY 13203-2890