Jordan, Parisa R

Jordan, Parisa R is an individual health care provider with primary practice located at 2300 Southwood Dr Dhmc Department Of Dermatology, Nashua NH 03063-1818. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Jordan, Parisa R can be contacted via phone (603) 577-4260.

Contact Information

Primary practice address
2300 Southwood Dr Dhmc Department Of Dermatology Nashua NH 03063-1818
Phone: (603) 577-4260
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X LT 3245 New Hampshire
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 16085 New Hampshire
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X 16085 New Hampshire

Profile Details

NPI number 1467680280
LBN Legal business name Jordan, Parisa R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2009
Last updated Sep 27th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1467680280 NPPES
New Hampshire MEDICAID 3082136
New Hampshire MEDICAID 1021347

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