Emma Joy Nordstrom
Family Doctor
2705 N Lebanon St Ste 300
Lebanon
, Indiana 46052-8622
Emma Joy Nordstrom
Family Doctor
2705 N Lebanon St Ste 300
Lebanon
, Indiana 46052-8622
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About
Features
Specialties
- Family Doctor
Languages spoken
- English
Location
First Address
- Emma Joy Nordstrom
- 2705 N Lebanon St Ste 305
- Lebanon, IN
- Zip : 46052-8622
- Phone :
Second Address
- Emma Joy Nordstrom
- 2705 N Lebanon St Ste 300
- Lebanon, IN
- Zip : 46052-8622
- Fax : (765) 485-8650
- Phone : (765) 485-8649
Reviews
FAQs
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Is Emma Joy Nordstrom a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | 01070698A | IN |
National Provider Identifier
| NPI | 1003136011 |
|---|---|
| Provider Name | Emma Joy Nordstrom |
| First Address | Lebanon, IN 46052-8622 |
| Second Address | Lebanon, IN 46052-8622 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/06/2010 |
| Last Update Date | 29/04/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 201088750 | (05) | IN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.