Jordan, Shane

Jordan, Shane is an individual health care provider with primary practice located at 1325 S State St , Dover DE 19901-4945. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Jordan, Shane can be contacted via phone (833) 521-5230.

Contact Information

Primary practice address
1325 S State St Dover DE 19901-4945
Phone: (833) 521-5230
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1972062495
LBN Legal business name Jordan, Shane
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2019
Last updated Sep 26th, 2023 - about 3 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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