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Contact Information

JORDAN TICHENOR
8604 GILES RD
LA VISTA, NE68128
 Phone: 402-559-6637
 Fax: 402-559-8333
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JORDAN TICHENOR · (Female)

NPI # 1003299827
Status Active
Credentials
Entity Individual
Enumeration date 06/30/2015
Last updated 09/07/2018 - More than a year ago
Sole proprietor 1 No
Identifiers
  • IA License # R10373
  • NE License # 1770
Hospital affiliation(s)
  • BELLEVUE MEDICAL CENTER - (Acute Care)
    2500 BELLEVUE MEDICAL CENTER DR
    BELLEVUE, NE 68123
  • THE NEBRASKA MEDICAL CENTER - (Acute Care)
    987400 NEBRASKA MEDICAL CENTER
    OMAHA, NE 68198
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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