Keller, Jordan

Keller, Jordan is an individual health care provider with primary practice located at 430 E 450 S , Clearfield UT 84015-1736. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Keller, Jordan can be contacted via phone (801) 776-3305.

Contact Information

Primary practice address
430 E 450 S Clearfield UT 84015-1736
Phone: (801) 776-3305
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1063941151
LBN Legal business name Keller, Jordan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2017
Last updated Jun 12th, 2017 - 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.

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