Jordan, Walter Jerome
Jordan, Walter Jerome is an sole proprietor health care provider with primary practice located at 600 40Th St N Apt 111 , St Petersburg FL 33713-6339. He recently has only one registered license in Agencies / Home Health, which is considered as his primary health care specialty. Jordan, Walter Jerome can be contacted via phone (727) 657-8392.Contact Information
Primary practice address
600 40Th St N Apt 111
St Petersburg FL 33713-6339
Phone: (727) 657-8392
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Home Health | 251E00000X | 235565 | Florida |
Profile Details
| NPI number | 1447733712 |
|---|---|
| LBN Legal business name | Jordan, Walter Jerome |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 12th, 2018 |
| Last updated | Sep 12th, 2018 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447733712 | NPPES |
| Florida | Other | 235565 | AGENCY FOR HEALTH CARE ADMINISTRATION |
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