William R. Jordan, M.D., Llc

LBN: William R. Jordan, M.D., Llc
William R. Jordan, M.D., Llc is an health care organization with primary practice located at 1212 7Th Ave Ste B , Phenix City AL 36867-5805. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Gynecology. Allopathic & Osteopathic Physicians / Gynecology is the primary health care specialty. William R. Jordan, M.D., Llc can be contacted via phone (334) 297-7790, or through Jordan, William Richie via phone (334) 297-7790.

Contact Information

Primary practice address
1212 7Th Ave Ste B Phenix City AL 36867-5805
Phone: (334) 297-7790
Fax: (334) 297-7127
Website:
Map and Directions
Authorized official contact:
Name: Jordan, William Richie Doctor of Medicine (MD)
Phone: (334) 297-7790

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X

Profile Details

NPI number 1689922205
LBN Legal business name William R. Jordan, M.D., Llc
DBA Doing business as
Authorized official Jordan, William Richie Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 29th, 2012
Last updated Aug 29th, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689922205 NPPES
Alabama MEDICAID 1790768646

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