Nathan John Jordan in Grand Rapids - Diagnostic Radiology
Nathan John Jordan - NPI 1013953868
Nathan John Jordan is a Diagnostic Radiology in Grand Rapids, Michigan. Nathan John Jordan practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Nathan John Jordan is 1013953868. The last update date is 2018-06-15.
Nathan John Jordan's current location address is 3264 N Evergreen Dr Ne, Grand Rapids, Michigan. You can contact this provider via phone number 6163637339. The mailing address for Nathan John Jordan is 3264 N Evergreen Dr Ne, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Nathan John Jordan |
|---|---|
| Address | 3264 N Evergreen Dr Ne, Grand Rapids, Michigan |
| Phone Number | 6163637339 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1013953868 |
|---|---|
| Provider Enumeration Date | 2006-06-21 |
| Last Updated Date | 2018-06-15 |
Provider Mailing Address Detail
| Address | 3264 N Evergreen Dr Ne |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495259746 |
| Phone Number | 6163637339 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | 4301084519 |
|
Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00214793 | RAILROAD MEDICARE | ||
| 4626133 | MI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Nathan John Jordan by the Centers for Medicare & Medicaid Services (CMS)?
The Nathan John Jordan has been assigned the NPI (National Provider Identifier) 1013953868. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Nathan John Jordan is geographically located?
The Nathan John Jordan is physically situated at the following location: 3264 N Evergreen Dr Ne, Grand Rapids, MI, 495259746.
What is the Nathan John Jordan's specialty and taxonomy code?
The Nathan John Jordan's specialty is Diagnostic Radiology, and the corresponding taxonomy code is 2085R0202X.
When was the Nathan John Jordan's 1013953868 issued?
The Nathan John Jordan's 1013953868 was issued on 2006-06-21.
When was the Nathan John Jordan's information last updated?
The Nathan John Jordan's information was last updated on 2018-06-15.
NPI Number: 1528061793
Address: 103 A South Park Dr., Brownwood, TX