Jordan, Taylor Blaine

Jordan, Taylor Blaine is an individual health care provider with primary practice located at 1220 Missouri Ave , Jeffersonville IN 47130-3725. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Jordan, Taylor Blaine can be contacted via phone (256) 558-1836.

Contact Information

Primary practice address
1220 Missouri Ave Jeffersonville IN 47130-3725
Phone: (256) 558-1836
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 1090432A Indiana

Profile Details

NPI number 1023646221
LBN Legal business name Jordan, Taylor Blaine
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 1st, 2020
Last updated Jun 8th, 2023 - about 2 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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