Whitaker, Jordan

Whitaker, Jordan is an sole proprietor health care provider with primary practice located at 10 Medical Blvd , Hattiesburg MS 39401-7230. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Whitaker, Jordan can be contacted via phone (601) 543-0310.

Contact Information

Primary practice address
10 Medical Blvd Hattiesburg MS 39401-7230
Phone: (601) 543-0310
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 2546 Mississippi

Profile Details

NPI number 1295004174
LBN Legal business name Whitaker, Jordan
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 21st, 2011
Last updated Dec 21st, 2011 - about 14 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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