Wallin, Jordan Lee

Wallin, Jordan Lee is an sole proprietor health care provider with primary practice located at 446 S Mall Dr Ste B1 , St George UT 84790-4945. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Facial Plastic Surgery. Allopathic & Osteopathic Physicians / Facial Plastic Surgery is his primary health care specialty. Wallin, Jordan Lee can be contacted via phone (435) 627-8150.

Contact Information

Primary practice address
446 S Mall Dr Ste B1 St George UT 84790-4945
Phone: (435) 627-8150
Fax: (435) 580-4028
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 2008-01743 North Carolina
Allopathic & Osteopathic Physicians / Facial Plastic Surgery 207YS0123X 2008-01743 North Carolina

Profile Details

NPI number 1811177652
LBN Legal business name Wallin, Jordan Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 9th, 2007
Last updated Oct 23rd, 2019 - about 7 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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