Jordan, Matt

Jordan, Matt is an individual health care provider with primary practice located at 13900 South Pleasant Valley Road , Kuna ID 83634. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Jordan, Matt can be contacted via phone (208) 333-0037.

Contact Information

Primary practice address
13900 South Pleasant Valley Road Kuna ID 83634
Phone: (208) 333-0037
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NP-1677A Idaho

Profile Details

NPI number 1447617139
LBN Legal business name Jordan, Matt
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2016
Last updated Jan 26th, 2016 - about 9 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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