Lane, Jordan Bryan
Lane, Jordan Bryan is an sole proprietor health care provider with primary practice located at 315 S Osteopathy Ave , Kirksville MO 63501-6401. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Lane, Jordan Bryan can be contacted via phone (660) 785-1000.Contact Information
Primary practice address
315 S Osteopathy Ave
Kirksville MO 63501-6401
Phone: (660) 785-1000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 2022025223 | Missouri |
Profile Details
| NPI number | 1639758006 |
|---|---|
| LBN Legal business name | Lane, Jordan Bryan |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 5th, 2021 |
| Last updated | Aug 8th, 2022 - about 4 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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