Petersen, Jordan James

Petersen, Jordan James is an individual health care provider with primary practice located at 10000 Telegraph Rd , Taylor MI 48180-3330. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Petersen, Jordan James can be contacted via phone (313) 295-5000.

Contact Information

Primary practice address
10000 Telegraph Rd Taylor MI 48180-3330
Phone: (313) 295-5000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 5151015319 Michigan

Profile Details

NPI number 1952979163
LBN Legal business name Petersen, Jordan James
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2021
Last updated Jun 14th, 2021 - about 5 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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