E L Jordan Jr Do Pc in Joplin - Ophthalmology
E L Jordan Jr Do Pc - NPI 1093803660
E L Jordan Jr Do Pc is a Ophthalmology in Joplin, Missouri. E L Jordan Jr Do Pc practices all healthcare services and medical treatments related to Ophthalmology. The NPI Number for E L Jordan Jr Do Pc is 1093803660. The last update date is 2013-01-10.
E L Jordan Jr Do Pc's current location address is 2630 Cunningham Ave, Joplin, Missouri. You can contact this provider via phone number 4177810044 and fax number 4177816331. The mailing address for E L Jordan Jr Do Pc is 2630 Cunningham Ave, Joplin, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | E L Jordan Jr Do Pc |
|---|---|
| Address | 2630 Cunningham Ave, Joplin, Missouri |
| Phone Number | 4177810044 |
| Fax Number | 4177816331 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Jordan Lawrence Earl |
| Credentials | DO |
| Telephone Number | 4177810044 |
NPI Number Detail
| NPI Number | 1093803660 |
|---|---|
| Provider Enumeration Date | 2006-10-10 |
| Last Updated Date | 2013-01-10 |
Provider Mailing Address Detail
| Address | 2630 Cunningham Ave |
|---|---|
| City | Joplin |
| State | Missouri (MO) |
| Post Code | 648041542 |
| Phone Number | 4177810044 |
| Fax Number | 4177816331 |
Provider's Primary Taxonomy Detail
| Speciality | Ophthalmology |
|---|---|
| Taxonomy | 207W00000X |
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Definition: An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This incl |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| DG3737 | MO | RAILROAD MEDICARE | |
| 106677 | MO | BLUE CROSS BLUE SHIELD | |
| DG3767 | KS | RAILROAD MEDICARE | |
| 100229750C | KS | -- | |
| 200100060A | OK | -- | |
| 505484402 | MO | -- | |
| 59024 | KS | BLUE CROSS BLUE SHIELD | |
| 100229750B | KS | -- | |
| 100229750D | MO | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to E L Jordan Jr Do Pc by the Centers for Medicare & Medicaid Services?
The E L Jordan Jr Do Pc has been issued the NPI (National Provider Identifier) 1093803660 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of E L Jordan Jr Do Pc?
The E L Jordan Jr Do Pc is situated at 2630 Cunningham Ave, in the city of Joplin, state of MO, with the zip code 648041542.
What is E L Jordan Jr Do Pc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The E L Jordan Jr Do Pc's specialized field of practice is Ophthalmology, and the corresponding taxonomy code that categorizes this area of specialization is 207W00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1093803660 to E L Jordan Jr Do Pc?
The E L Jordan Jr Do Pc received its 1093803660 assignment from the Centers for Medicare & Medicaid Services on 2006-10-10.
As of what date were the details pertaining to E L Jordan Jr Do Pc last refreshed?
The information related to the E L Jordan Jr Do Pc, including its address, specialty, and other relevant details, was last updated on 2013-01-10.