Amy B Jordan is a Specialist in Mansfield, Ohio. Amy B Jordan practices all healthcare services and medical treatments related to Specialist. The NPI Number for Amy B Jordan is 1902860794. The last update date is 2007-07-08.
Amy B Jordan's current location address is 2525 W 4th St, Mansfield, Ohio. You can contact this provider via phone number 4197555109. The mailing address for Amy B Jordan is 2525 W 4th St, Mansfield, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Amy B Jordan |
|---|---|
| Address | 2525 W 4th St, Mansfield, Ohio |
| Phone Number | 4197555109 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | ATC, LAT |
NPI Number Detail
| NPI Number | 1902860794 |
|---|---|
| Provider Enumeration Date | 2006-04-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2525 W 4th St |
|---|---|
| City | Mansfield |
| State | Ohio (OH) |
| Post Code | 449061208 |
| Phone Number | 4197555109 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | AT-1591 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Amy B Jordan by the Centers for Medicare & Medicaid Services?
The Amy B Jordan has been issued the NPI (National Provider Identifier) 1902860794 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Amy B Jordan is physically located?
The Amy B Jordan is physically situated at the following address: 2525 W 4Th St, Mansfield, OH, 449061208.
What is Amy B Jordan's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Amy B Jordan is Specialist, and the taxonomy code that categorizes this field of expertise is 174400000X.
On what date did the Amy B Jordan receive its 1902860794 assignment from the Centers for Medicare & Medicaid Services?
The Amy B Jordan was assigned its 1902860794 by the Centers for Medicare & Medicaid Services on 2006-04-17.
As of what date were the details pertaining to Amy B Jordan last refreshed?
The information related to the Amy B Jordan, including its address, specialty, and other relevant details, was last updated on 2007-07-08.