Ross, Jordan S

Ross, Jordan S is an sole proprietor health care provider with primary practice located at 2730 S Val Vista Dr Suite 138, Bldg. 7, Gilbert AZ 85296-6675. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Ross, Jordan S can be contacted via phone (480) 686-9686.

Contact Information

Primary practice address
2730 S Val Vista Dr Suite 138, Bldg. 7 Gilbert AZ 85296-6675
Phone: (480) 686-9686
Fax: (480) 686-9508
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 3119 Arizona
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM 204D00000X 3119 Arizona

Profile Details

NPI number 1073583035
LBN Legal business name Ross, Jordan S
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 24th, 2006
Last updated May 9th, 2012 - about 14 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 1073583035 NPPES
Arizona Other 3119 STATE LICENSE

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