Jordan, Timothy W

Jordan, Timothy W is an individual health care provider with primary practice located at 101 W 8Th Ave Suite 4200, Spokane WA 99204-2307. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics. Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics is his primary health care specialty. Jordan, Timothy W can be contacted via phone (509) 474-2730.

Contact Information

Primary practice address
101 W 8Th Ave Suite 4200 Spokane WA 99204-2307
Phone: (509) 474-2730
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 26988 Arizona
Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics 2080P0006X MD00046301 Washington

Profile Details

NPI number 1669442612
LBN Legal business name Jordan, Timothy W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2006
Last updated May 25th, 2016 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1669442612 NPPES
Arizona MEDICAID 508658

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