Jordan, Mariah C

Jordan, Mariah C is an individual health care provider with primary practice located at 2906 S 20Th St , Milwaukee WI 53215-3732. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Jordan, Mariah C can be contacted via phone (414) 672-1353.

Contact Information

Primary practice address
2906 S 20Th St Milwaukee WI 53215-3732
Phone: (414) 672-1353
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X

Profile Details

NPI number 1386382174
LBN Legal business name Jordan, Mariah C
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2022
Last updated Jul 25th, 2023 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1386382174 NPPES
Wisconsin Other 13156-33 APNP
Wisconsin Other 229165-30 APNP
Wisconsin Other 150007-32 APNP
Wisconsin MEDICAID 1386382174 APNP

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