Theodore R. Jordan
Neuromusculoskeletal Medicine (NMM)
5131 Beacon Hill Rd Suite 200a
Columbus
, Ohio 43228-4442
Theodore R. Jordan
Neuromusculoskeletal Medicine (NMM)
5131 Beacon Hill Rd Suite 200a
Columbus
, Ohio 43228-4442
(614) 793-1980
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About
Features
Specialties
- Neuromusculoskeletal Medicine (NMM)
Languages spoken
- English
Location
First Address
- Theodore R. Jordan
- 200 Bradenton Ave
- Dublin, OH
- Zip : 43017-7515
- Phone : (614) 793-1980
Second Address
- Theodore R. Jordan
- 5131 Beacon Hill Rd Suite 200a
- Columbus, OH
- Zip : 43228-4442
- Phone : (614) 878-8034
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 34-00-5892 | OH |
National Provider Identifier
| NPI | 1427095942 |
|---|---|
| Provider Name | Theodore R. Jordan |
| First Address | Dublin, OH 43017-7515 |
| Second Address | Columbus, OH 43228-4442 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/06/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0190323 | (05) | OH |
| G15942 | (02) | OH |
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.