Organization
JORDAN CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEREK JORDAN DC (OWNER)
(502) 468-0774
Entity
Organization
Contact information
Practice address
3417 GRANT LINE RD # 316, GRANT LINE CENTER, NEW ALBANY, IN 47150-2164
(502) 468-0774
Mailing address
3417 GRANT LINE RD # 316, GRANT LINE CENTER, NEW ALBANY, IN 47150-2164
(502) 468-0774
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08002750A
IN
Other
Enumeration date
09/11/2014
Last updated
10/26/2016
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