Koontz, Jordan Louise
Koontz, Jordan Louise is an individual health care provider with primary practice located at 214 College Park Plz , Johnstown PA 15904-2833. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Koontz, Jordan Louise can be contacted via phone (888) 918-5465.Contact Information
Primary practice address
214 College Park Plz
Johnstown PA 15904-2833
Phone: (888) 918-5465
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X |
Profile Details
| NPI number | 1255824686 |
|---|---|
| LBN Legal business name | Koontz, Jordan Louise |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 11th, 2018 |
| Last updated | Nov 1st, 2019 - about 7 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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