Nash, Jordan A
Nash, Jordan A is an individual health care provider with primary practice located at 111 Great Teays Blvd , Scott Depot WV 25560-9548. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Nash, Jordan A can be contacted via phone (304) 757-8459.Contact Information
Primary practice address
111 Great Teays Blvd
Scott Depot WV 25560-9548
Phone: (304) 757-8459
Fax: (304) 757-6904
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 24824 | West Virginia |
Profile Details
| NPI number | 1437384161 |
|---|---|
| LBN Legal business name | Nash, Jordan A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 26th, 2009 |
| Last updated | Nov 12th, 2020 - about 6 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 | 1437384161 | NPPES |
| Ohio | MEDICAID | 0075746 | |
| Ohio | MEDICAID | 3810023601 | |
| Ohio | MEDICAID | 7100239930 |
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