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Contact Information

JORDAN ELLIOTT
6 HOSPITAL PLZ
CLARKSBURG, WV26301-9316
 Phone: 304-623-5661
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for JORDAN ELLIOTT · (Female)

NPI Number 1043025646
Status Active
Credentials
Entity Individual
Enumeration date 02/11/2025
Last updated 02/11/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • WV License # 25-909SUD
Hospital affiliation(s) Not Available
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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