Jordan, Michele
Jordan, Michele is an individual health care provider with primary practice located at 145 N Chalkville Rd , Trussville AL 35173-1330. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Jordan, Michele can be contacted via phone (205) 661-3737.Contact Information
Primary practice address
145 N Chalkville Rd
Trussville AL 35173-1330
Phone: (205) 661-3737
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 18368 | Alabama |
Profile Details
| NPI number | 1982651436 |
|---|---|
| LBN Legal business name | Jordan, Michele |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 30th, 2006 |
| Last updated | Nov 20th, 2009 - about 17 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 | 1982651436 | NPPES |
| Alabama | Other | 631250657 | TAX ID |
| Alabama | MEDICAID | 529916720 | TAX ID |
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