J.S. JORDAN PROFESSIONAL SERVICES CORP NPI 1023291747

Chiropractor in Crown Point, IN

NPI 1023291747 Organization Chiropractor

About J.S. JORDAN PROFESSIONAL SERVICES CORP

J.s. Jordan Professional Services Corp is a provider established in Crown Point, Indiana specializing in chiropractor. The NPI number of J.s. Jordan Professional Services Corp is 1023291747 and was assigned on December 2007. The practitioner's primary taxonomy code is 111N00000X with license number 08001394A (IN). The provider is registered as an organization and their NPI record was last updated 13 years ago. J.s. Jordan Professional Services Corp operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is John S Jordan D.c. (President)

A chiropractor like J.s. Jordan Professional Services Corp helps patients with problems of the neuromusculoskeletal system, which includes nerves, bones, muscles, ligaments, and tendons. Chiropractors use spinal adjustments and manipulation, as well as other clinical interventions, to manage health issues such as back and neck pain. Some chiropractors apply procedures like massage therapy, rehabilitative exercise, ultrasound and spinal adjustments and manipulation. A chiropractor focuses on the patients overall health and might refer patients to other healthcare professionals if necessary.

NPI

1023291747

Provider NameJ.S. JORDAN PROFESSIONAL SERVICES CORP
Provider Location Address300 N MAIN ST STE C CROWN POINT, IN 46307
Provider Mailing Address300 N MAIN ST STE C CROWN POINT, IN 46307
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date12-17-2007
Last Update Date04-20-2008


Primary Taxonomy

Taxonomy Code111N00000X
ClassificationChiropractor
TypeChiropractic Providers
License No.08001394A
License StateIN
Taxonomy DescriptionA provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Business Address

J.S. JORDAN PROFESSIONAL SERVICES CORP
300 N MAIN ST STE C
CROWN POINT, IN
ZIP 46307
Phone: (219) 662-7711
Fax: (219) 662-7740

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Mailing Address

J.S. JORDAN PROFESSIONAL SERVICES CORP
300 N MAIN ST STE C
CROWN POINT, IN
ZIP 46307
Phone: (219) 662-7711
Fax: (219) 662-7740



Authorized Official

Authorized Official Name JOHN S JORDAN D.C.
Authorized Official TitlePRESIDENT
Authorized Official Phone(219) 662-7711

Group Taxonomy


193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
404810MEDICARE PIN (08)IN
000000184405OTHER (01)IN
=========100MEDICAID (05)IN
404810AMEDICARE PIN (08)IN
P00066063MEDICARE PIN (08)GA
000000184405MEDICARE UPIN (02)IN

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1811047566DR. JOHN S. JORDAN D.C.
Individual
Chiropractor300 N MAIN ST STE C
CROWN POINT, IN 46307
(219) 662-7711

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.