Jordan, Marshall C
Jordan, Marshall C is an individual health care provider with primary practice located at Espanola Multi-Specialty Clinic 1010 Spruce St, Espanola NM 87532. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Jordan, Marshall C can be contacted via phone (505) 367-0340.Contact Information
Primary practice address
Espanola Multi-Specialty Clinic 1010 Spruce St
Espanola NM 87532
Phone: (505) 367-0340
Fax: (505) 367-0346
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD2006-0824 | New Mexico |
Profile Details
| NPI number | 1982656880 |
|---|---|
| LBN Legal business name | Jordan, Marshall C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2006 |
| Last updated | Aug 14th, 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 | 1982656880 | NPPES |
| New Mexico | MEDICAID | 29377056 |
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