Individual
DR. JOHN S. JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
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
08001394
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000184405
ANTHEM BLUE CROSS BLUE SH
IN
05
—
100147680
—
IN
05
—
351875464100
—
IN
Enumeration date
01/12/2007
Last updated
11/22/2011
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