Individual
CURTIS A JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
01034505A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000042711
ANTHEM
—
01
—
019837P
SIHO
—
05
—
100439320
—
IN
01
—
1051957
PASSPORT
KY
01
—
33B29
IHN
—
01
—
351995025
UNITED HEALTH
—
01
—
5373086
FIRST HEALTH
—
01
—
64270846
UNISYS
KY
05
—
64270846
—
KY
01
—
833753
FIRST HEALTH
—
01
—
918739
BLOCK VISION
—
Enumeration date
06/21/2005
Last updated
10/23/2020
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