Paul, Jordan

Paul, Jordan is an individual health care provider with primary practice located at 623 N Main St , Corona CA 92880-1407. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Paul, Jordan can be contacted via phone (909) 488-9477.

Contact Information

Primary practice address
623 N Main St Corona CA 92880-1407
Phone: (909) 488-9477
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X R1333970119 California

Profile Details

NPI number 1710540034
LBN Legal business name Paul, Jordan
Credentials RADT
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 22nd, 2019
Last updated Apr 22nd, 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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