Jordan, Krista M
Jordan, Krista M is an individual health care provider with primary practice located at 5955 Zeamer Avenue 3Rd Mdg/Wic Office, Elmendorf Afb AK 99506. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Jordan, Krista M can be contacted via phone (907) 580-3205.Contact Information
Primary practice address
5955 Zeamer Avenue 3Rd Mdg/Wic Office
Elmendorf Afb AK 99506
Phone: (907) 580-3205
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | 130 | Alaska |
Profile Details
| NPI number | 1083806640 |
|---|---|
| LBN Legal business name | Jordan, Krista M |
| Credentials | Registered Dietitian (RD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 16th, 2007 |
| Last updated | Aug 16th, 2007 - about 19 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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