National Provider Identifier Database

JORDAN REHAB CORPORATION
Medical Specialty

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).


Contact Information

JORDAN REHAB CORPORATION
7707 OGONTZ AVE
PHILADELPHIA, PA19150-1818
Phone: 267-254-2868
Fax:
Website:
Specialty Taxonomy Code
* Medical Specialty 261QM2500X

* Indicates primary specialty

NPI Profile & details for JORDAN REHAB CORPORATION

NPI Number 1194308510
Legal business name
LBN
JORDAN REHAB CORPORATION
Authorized official KELTON JORDAN - (CEO)
Entity Organization
Organization subpart No
Enumeration date 05/03/2021
Last updated 05/03/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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