Southern, Jordan

Southern, Jordan is an individual health care provider with primary practice located at 3 Hospital Dr , Lewisburg PA 17837-9362. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Southern, Jordan can be contacted via phone (570) 523-3900.

Contact Information

Primary practice address
3 Hospital Dr Lewisburg PA 17837-9362
Phone: (570) 523-3900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Urology 208800000X MD471223 Pennsylvania

Profile Details

NPI number 1730575879
LBN Legal business name Southern, Jordan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2015
Last updated Nov 17th, 2020 - about 6 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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