Mize, Jordan D.

Mize, Jordan D. is an individual health care provider with primary practice located at 100 Mercy Way Ste 580, Joplin MO 64804-4524. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Metabolic, which is considered as her primary health care specialty. Mize, Jordan D. can be contacted via phone (417) 556-8555.

Contact Information

Primary practice address
100 Mercy Way Ste 580 Joplin MO 64804-4524
Phone: (417) 556-8555
Fax: (417) 556-8553
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Metabolic 133VN1006X 2015020189 Missouri

Profile Details

NPI number 1346622354
LBN Legal business name Mize, Jordan D.
Credentials MS, RDN
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2015
Last updated Dec 1st, 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 1346622354 NPPES
Missouri MEDICAID 1346622354

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