Jordan, Marcia C,
Jordan, Marcia C, is an individual health care provider with primary practice located at 1412 Sw 43Rd St #200, Renton WA 98057-4803. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Jordan, Marcia C, can be contacted via phone (425) 271-4910.Contact Information
Primary practice address
1412 Sw 43Rd St #200
Renton WA 98057-4803
Phone: (425) 271-4910
Fax: (425) 264-1041
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD00031325 | Washington |
Profile Details
| NPI number | 1558331454 |
|---|---|
| LBN Legal business name | Jordan, Marcia C, |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 24th, 2006 |
| Last updated | Dec 28th, 2016 - about 10 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 | 1558331454 | NPPES |
| Washington | MEDICAID | 8156531 |
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