Earlene Jordan is a Pediatrics in Wheaton, Maryland. Earlene Jordan practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Earlene Jordan is 1023048873. The last update date is 2007-07-08.
Earlene Jordan's current location address is 2401 Blueridge Ave Ste 210, Wheaton, Maryland. You can contact this provider via phone number 3019336440 and fax number 3019335923. The mailing address for Earlene Jordan is 2401 Blueridge Ave Ste 210, Wheaton, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Earlene Jordan |
|---|---|
| Address | 2401 Blueridge Ave Ste 210, Wheaton, Maryland |
| Phone Number | 3019336440 |
| Fax Number | 3019335923 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1023048873 |
|---|---|
| Provider Enumeration Date | 2006-07-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2401 Blueridge Ave Ste 210 |
|---|---|
| City | Wheaton |
| State | Maryland (MD) |
| Post Code | 209024517 |
| Phone Number | 3019336440 |
| Fax Number | 3019335923 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | D36653 |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 527541500 | MD | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Earlene Jordan by the Centers for Medicare & Medicaid Services?
The Earlene Jordan has been assigned the NPI (National Provider Identifier) 1023048873. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Earlene Jordan located?
The Earlene Jordan is located at 2401 Blueridge Ave Ste 210, Wheaton, MD 209024517.
What is the Earlene Jordan's area of specialization and corresponding taxonomy classification?
The Earlene Jordan's specialty field is Pediatrics, and it falls under the taxonomy code 208000000X, which categorizes healthcare providers based on their specialties.
On what date did the Earlene Jordan receive its 1023048873 assignment from the Centers for Medicare & Medicaid Services?
The Earlene Jordan was assigned its 1023048873 by the Centers for Medicare & Medicaid Services on 2006-07-04.
When was the information regarding Earlene Jordan most recently updated?
The details pertaining to the Earlene Jordan, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.