National Provider Identifier Database

ELIJAH JORDAN JR, MD – NPI #1932546108
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.


Contact Information

ELIJAH JORDAN JR, MD
7125 EAST JUAN SANCHEZ BLVD
ASPC- YUMA HEALTH SERVICES
SAN LUIS, AZ85349
Phone: 928-627-8871
Fax:
Website:
Specialty Taxonomy Code
* General Practice 208D00000X

* Indicates primary specialty

NPI Profile & details for ELIJAH JORDAN JR

NPI Number 1932546108
Credentials MD
Entity Individual
Enumeration date 05/29/2013
Last updated 05/29/2013 - About 13 years ago
Sole proprietor1 Yes
Identifiers
  • AZ License #: 47197
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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