Jordan, Lance Jacob

Jordan, Lance Jacob is an sole proprietor health care provider with primary practice located at 3650 Bethune Dr , Mountain Brk AL 35223-1420. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Jordan, Lance Jacob can be contacted via phone (205) 903-8496.

Contact Information

Primary practice address
3650 Bethune Dr Mountain Brk AL 35223-1420
Phone: (205) 903-8496
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X

Profile Details

NPI number 1861187106
LBN Legal business name Jordan, Lance Jacob
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 11th, 2023
Last updated Apr 11th, 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.

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