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Contact Information

JORDAN R BANKS, CT
5209 DETROIT AVENUE
CLEVELAND, OH44102
 Phone: 216-651-2037
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Counselor

101Y00000X
 

Case Manager/Care Coordinator

171M00000X
 

Community Health Worker

172V00000X
Indicates primary specialty

NPI Profile & details for JORDAN R BANKS · (Male)

NPI # 1487322137
Status Active
Credentials CT
Entity Individual
Enumeration date 08/30/2021
Last updated 11/15/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • OH License # C.2305565
  • OH Medicaid 0459264
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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