Individual
DR. JOHN EDWARD JORDAN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7875 GRAND BLVD, HOBART, IN 46342-6665
(219) 942-9658
(219) 947-1996
Mailing address
7875 GRAND BLVD, HOBART, IN 46342-6665
(219) 942-9658
(219) 947-1996
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01048056
IN
207R00000X
Internal Medicine Physician
036-080023
IL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
01048056
IN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
036-080023
IL
207RP1001X
Pulmonary Disease Physician
Primary
01048056
IN
207RP1001X
Pulmonary Disease Physician
036-080023
IL
Other
Enumeration date
12/12/2006
Last updated
08/05/2010
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