Timothy W Jordan in Liberty Lake - Developmental - Behavioral Pediatrics
Timothy W Jordan - NPI 1669442612
Timothy W Jordan is a Developmental - Behavioral Pediatrics in Liberty Lake, Washington. Timothy W Jordan practices all healthcare services and medical treatments related to Developmental - Behavioral Pediatrics. The NPI Number for Timothy W Jordan is 1669442612. The last update date is 2016-05-25.
Timothy W Jordan's current location address is Po Box 421, Liberty Lake, Washington. You can contact this provider via phone number 5094742730. The mailing address for Timothy W Jordan is Po Box 421, Liberty Lake, Washington. To know further, please read the information below!
Provider Profile Detail
Provider Name | Timothy W Jordan |
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Address | Po Box 421, Liberty Lake, Washington |
Phone Number | 5094742730 |
Fax Number | |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1669442612 |
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Provider Enumeration Date | 2006-01-24 |
Last Updated Date | 2016-05-25 |
Provider Mailing Address Detail
Address | Po Box 421 |
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City | Liberty Lake |
State | Washington (WA) |
Post Code | 990190421 |
Phone Number | 5094742730 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Developmental - Behavioral Pediatrics |
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Taxonomy | 2080P0006X |
Licence No | MD00046301 |
Definition: A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy effort |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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508658 | AZ | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Timothy W Jordan by the Centers for Medicare & Medicaid Services?
The Timothy W Jordan has been issued the NPI (National Provider Identifier) 1669442612. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Timothy W Jordan's facilities are geographically located?
The facilities of Timothy W Jordan are physically situated at the following location: Po Box 421, Liberty Lake, WA, 990190421.
What is Timothy W Jordan's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Timothy W Jordan is Developmental - Behavioral Pediatrics, and the taxonomy classification code that categorizes this area of expertise is 2080P0006X.
On what date did Timothy W Jordan receive its 1669442612 assignment from the Centers for Medicare & Medicaid Services?
The Timothy W Jordan was assigned its 1669442612 on 2006-01-24, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Timothy W Jordan most recently updated or refreshed?
The details pertaining to the Timothy W Jordan, including its address, specialty, and other relevant information, were last updated or refreshed on 2016-05-25.