Michael Robert Jordan in Williamsville - Addiction Medicine
Michael Robert Jordan - NPI 1952456808
Michael Robert Jordan is a Addiction Medicine in Williamsville, New York. Michael Robert Jordan practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Michael Robert Jordan is 1952456808. The last update date is 2021-12-14.
Michael Robert Jordan's current location address is 425 Essjay Rd Ste 170, Williamsville, New York. You can contact this provider via phone number 7166301308 and fax number 7162505961. The mailing address for Michael Robert Jordan is 425 Essjay Rd Ste 170, Williamsville, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Robert Jordan |
|---|---|
| Address | 425 Essjay Rd Ste 170, Williamsville, New York |
| Phone Number | 7166301308 |
| Fax Number | 7162505961 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1952456808 |
|---|---|
| Provider Enumeration Date | 2007-01-23 |
| Last Updated Date | 2021-12-14 |
Provider Mailing Address Detail
| Address | 425 Essjay Rd Ste 170 |
|---|---|
| City | Williamsville |
| State | New York (NY) |
| Post Code | 142215782 |
| Phone Number | 7166301308 |
| Fax Number | 7162505961 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction Medicine |
|---|---|
| Taxonomy | 2083A0300X |
| Licence No | 238268 |
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Definition: A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction. |
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Post Comment/ Review Below
What is the unique identifier code issued to Michael Robert Jordan by the Centers for Medicare & Medicaid Services (CMS)?
The Michael Robert Jordan has been assigned the NPI (National Provider Identifier) 1952456808. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Michael Robert Jordan's physical address?
The Michael Robert Jordan is physically located at 425 Essjay Rd Ste 170, in the city of Williamsville, NY, with the postal code 142215782.
What is the Michael Robert Jordan's specialty and taxonomy code?
The Michael Robert Jordan's specialty is Addiction Medicine, and the corresponding taxonomy code is 2083A0300X.
On what date was the 1952456808 assigned to Michael Robert Jordan?
The Michael Robert Jordan was issued its 1952456808 on 2007-01-23, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Michael Robert Jordan most recently updated or refreshed?
The details pertaining to the Michael Robert Jordan, including its address, specialty, and other relevant information, were last updated or refreshed on 2021-12-14.