Jordan, Robert Herbert
Jordan, Robert Herbert is an sole proprietor health care provider with primary practice located at 510 E Stoner Ave Overton Brooks Va Medical Center--116B, Shreveport LA 71101-4243. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Jordan, Robert Herbert can be contacted via phone (318) 424-6051.Contact Information
Primary practice address
510 E Stoner Ave Overton Brooks Va Medical Center--116B
Shreveport LA 71101-4243
Phone: (318) 424-6051
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 546 | Louisiana |
Profile Details
| NPI number | 1104937952 |
|---|---|
| LBN Legal business name | Jordan, Robert Herbert |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 31st, 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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