Stouffer, Jordan Taylor

Stouffer, Jordan Taylor is an sole proprietor health care provider with primary practice located at 300 Twining St Bldg 760 , Maxwell Afb AL 36112-6027. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Military Health Care Provider, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Stouffer, Jordan Taylor can be contacted via phone (334) 953-5200.

Contact Information

Primary practice address
300 Twining St Bldg 760 Maxwell Afb AL 36112-6027
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Military Health Care Provider 171000000X 28464 Nebraska
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 125.062750 Illinois
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 28464 Nebraska

Profile Details

NPI number 1447696075
LBN Legal business name Stouffer, Jordan Taylor
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 22nd, 2013
Last updated Jul 10th, 2024 - about 2 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.

Request for update

Popular Providers