Ship, Jordan R

Ship, Jordan R is an individual health care provider with primary practice located at 111 Colchester Ave , Burlington VT 05401-1473. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Ship, Jordan R can be contacted via phone (802) 847-0000.

Contact Information

Primary practice address
111 Colchester Ave Burlington VT 05401-1473
Phone: (802) 847-0000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 042.0014311 Vermont
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 35127 Colorado
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 298295 New York

Profile Details

NPI number 1861470247
LBN Legal business name Ship, Jordan R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2006
Last updated Dec 8th, 2025 - about last year

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 1861470247 NPPES
Colorado MEDICAID 01351279

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