Jordan, Stacy Ann
Jordan, Stacy Ann is an individual health care provider with primary practice located at 2025 Indian Rocks Rd S , Largo FL 33774-1035. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is her primary health care specialty. Jordan, Stacy Ann can be contacted via phone (847) 289-9572.Contact Information
Primary practice address
2025 Indian Rocks Rd S
Largo FL 33774-1035
Phone: (847) 289-9572
Fax: (847) 888-5469
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 5101021920 | Michigan |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 5101021920 | Michigan |
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | OS16125 | Florida |
Profile Details
| NPI number | 1700266608 |
|---|---|
| LBN Legal business name | Jordan, Stacy Ann |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 5th, 2015 |
| Last updated | Apr 22nd, 2021 - about 5 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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