Jordan, Tim

Jordan, Tim is an sole proprietor health care provider with primary practice located at 35 Fresh River Rd , Epping NH 03042-2225. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Jordan, Tim can be contacted via phone (603) 679-5147.

Contact Information

Primary practice address
35 Fresh River Rd Epping NH 03042-2225
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 655 New Hampshire
Eye and Vision Services Providers / Optometrist 152W00000X 4033 Massachusetts

Profile Details

NPI number 1255427068
LBN Legal business name Jordan, Tim
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 5th, 2006
Last updated Jun 22nd, 2010 - about 16 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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