Organization
J.S. JORDAN PROFESSIONAL SERVICES CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN S JORDAN D.C. (PRESIDENT)
(219) 662-7711
Entity
Organization
Contact information
Practice address
300 N MAIN ST STE C, CROWN POINT, IN 46307-3281
(219) 662-7711
(219) 662-7740
Mailing address
300 N MAIN ST STE C, CROWN POINT, IN 46307-3281
(219) 662-7711
(219) 662-7740
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08001394A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000184405
ANTHEM BCBS
IN
Enumeration date
12/17/2007
Last updated
04/20/2008
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