Individual
DR. DEREK RICHARD JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2230 EDSEL LN NW STE 1, CORYDON, IN 47112-2136
(812) 734-1020
(812) 225-5145
Mailing address
2230 EDSEL LN NW STE 1, CORYDON, IN 47112-2136
(812) 734-1020
(812) 225-5145
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08002750A
IN
111N00000X
Chiropractor
2012006828
MO
Other
Enumeration date
02/29/2012
Last updated
11/20/2018
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