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Contact Information

JORDAN WEST
205 SOUTH LOGAN STREET
CAYUGA, IN47928
 Phone: 765-492-4898
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for JORDAN WEST · (Male)

NPI # 1033563846
Status Active
Credentials
Entity Individual
Enumeration date 04/18/2016
Last updated 06/14/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • IN License # 36002984A
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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