Jordan, Marvel

Jordan, Marvel is an individual health care provider with primary practice located at 153 Cesar Chavez St , Saint Paul MN 55107-2226. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Jordan, Marvel can be contacted via phone (651) 222-1816.

Contact Information

Primary practice address
153 Cesar Chavez St Saint Paul MN 55107-2226
Phone: (651) 222-1816
Fax: (651) 602-7517
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 5833 Minnesota

Profile Details

NPI number 1730149204
LBN Legal business name Jordan, Marvel
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2006
Last updated Jul 8th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1730149204 NPPES
Minnesota Other 53M31JO BCBS
Minnesota Other HP30945 BCBS
Minnesota Other 141949 BCBS
Minnesota Other 6269866 BCBS

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