Provider Demographics
NPI:1023042868
Name:JORDAN, ERIN MICHELE (MS ATC)
Entity Type:Individual
Prefix:MS
First Name:ERIN
Middle Name:MICHELE
Last Name:JORDAN
Suffix:
Gender:F
Credentials:MS ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 385
Mailing Address - Street 2:
Mailing Address - City:BIGLER
Mailing Address - State:PA
Mailing Address - Zip Code:16825-0385
Mailing Address - Country:US
Mailing Address - Phone:814-857-7922
Mailing Address - Fax:
Practice Address - Street 1:78 BIGLER CEMETERY RD
Practice Address - Street 2:
Practice Address - City:BIGLER
Practice Address - State:PA
Practice Address - Zip Code:16825-0385
Practice Address - Country:US
Practice Address - Phone:814-857-7922
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer