Wines, Jordan

Wines, Jordan is an individual health care provider with primary practice located at 106 E Watauga Ave , Johnson City TN 37601-4628. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as his primary health care specialty. Wines, Jordan can be contacted via phone (423) 928-5771.

Contact Information

Primary practice address
106 E Watauga Ave Johnson City TN 37601-4628
Phone: (423) 928-5771
Fax: (423) 928-1424
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 2091 Tennessee

Profile Details

NPI number 1538737101
LBN Legal business name Wines, Jordan
Credentials AU.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2021
Last updated May 3rd, 2023 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1538737101 NPPES
North Carolina Other 14980 AUDIOLOGY LICENSURE
North Carolina MEDICAID Q076394 AUDIOLOGY LICENSURE

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