National Provider Identifier Database

JORDAN DEVELOPMENTAL PEDIATRICS PC
Developmental - Behavioral Pediatrics

A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.


Contact Information

JORDAN DEVELOPMENTAL PEDIATRICS PC
21031 N CAVE CREEK RD
STE F4
PHOENIX, AZ85024-5525
Phone: 602-956-3141
Fax: 602-795-1671
Website:
Specialty Taxonomy Code
* Developmental - Behavioral Pediatrics 2080P0006X

* Indicates primary specialty

NPI Profile & details for JORDAN DEVELOPMENTAL PEDIATRICS PC

NPI Number 1649229394
Legal business name
LBN
JORDAN DEVELOPMENTAL PEDIATRICS PC
Authorized official TIMOTHY JORDAN - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 05/09/2006
Last updated 04/18/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • AZ License #: 26988
  • AZ Medicaid: 508658

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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