Rutherford, Jordan

Rutherford, Jordan is an individual health care provider with primary practice located at 421 W College St , Florence AL 35630-5520. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Rutherford, Jordan can be contacted via phone (256) 764-9522.

Contact Information

Primary practice address
421 W College St Florence AL 35630-5520
Phone: (256) 764-9522
Fax: (256) 764-1139
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME143517 Florida
Allopathic & Osteopathic Physicians / Pediatrics 208000000X T-3420 Mississippi
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 42434 Alabama

Profile Details

NPI number 1518498054
LBN Legal business name Rutherford, Jordan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2017
Last updated Feb 22nd, 2022 - about 4 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 1518498054 NPPES
Alabama MEDICAID 265009
Alabama Other 1518498054

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