Carmen Shafe Jordan in Rockford - Speech-language Pathologist
Carmen Shafe Jordan - NPI 1295857845
Carmen Shafe Jordan is a Speech-language Pathologist in Rockford, Illinois. Carmen Shafe Jordan practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Carmen Shafe Jordan is 1295857845. The last update date is 2007-07-08.
Carmen Shafe Jordan's current location address is 1401 E State St, Rockford, Illinois. You can contact this provider via phone number 8154894470 and fax number 8154905858. The mailing address for Carmen Shafe Jordan is 1401 E State St, Rockford, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carmen Shafe Jordan |
|---|---|
| Address | 1401 E State St, Rockford, Illinois |
| Phone Number | 8154894470 |
| Fax Number | 8154905858 |
| Sole Proprietor | N |
| Credentials | M.A., CCC- |
NPI Number Detail
| NPI Number | 1295857845 |
|---|---|
| Provider Enumeration Date | 2007-04-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1401 E State St |
|---|---|
| City | Rockford |
| State | Illinois (IL) |
| Post Code | 611042315 |
| Phone Number | 8154894470 |
| Fax Number | 8154905858 |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
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Definition: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Spe |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| CJ05640701P | IL | EI CREDENTIAL NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Carmen Shafe Jordan by the Centers for Medicare & Medicaid Services?
The Carmen Shafe Jordan has been assigned the NPI (National Provider Identifier) 1295857845 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Carmen Shafe Jordan is physically located?
The Carmen Shafe Jordan is physically situated at the following address: 1401 E State St, Rockford, IL, 611042315.
What is Carmen Shafe Jordan's specialized field of practice, and what is the corresponding taxonomy classification code?
The Carmen Shafe Jordan's area of specialization is Speech-language Pathologist, and the corresponding taxonomy code that categorizes this field of practice is 235Z00000X.
When did the Carmen Shafe Jordan receive its 1295857845?
The Carmen Shafe Jordan was issued its 1295857845 on 2007-04-04, which is the date when the organization was assigned this unique identifier.
When was the information regarding Carmen Shafe Jordan, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Carmen Shafe Jordan, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.