| Joshua Jordan, DC | |
|
463392 State Road 200, Yulee, FL 32097-3240 | |
| (904) 491-1345 | |
| Not Available |
| Full Name | Joshua Jordan |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 463392 State Road 200, Yulee, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457197675 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CH15065 (Florida) | Primary |
| Provider Name | Beckerton Chiropractic Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1770018467 PECOS PAC ID: 7810265394 Enrollment ID: O20170626001662 |
| Mailing Address | Practice Location Address |
|---|---|
| Joshua Jordan, DC 329 Ponderosa Dr, Jacksonville, FL 32218-0319 Ph: (904) 624-2800 | Joshua Jordan, DC 463392 State Road 200, Yulee, FL 32097-3240 Ph: (904) 491-1345 |
Jeremy Ford, Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 463646 State Road 200 Ste 7, Yulee, FL 32097 Phone: 904-849-1089 | |
Fernandina Chiropractic Center, Inc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 464073 State Road 200, Suite 4, Yulee, FL 32097 Phone: 904-491-1345 Fax: 904-491-1346 | |
Samantha Quintero, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 463374 State Road 200, Yulee, FL 32097 Phone: 904-491-1345 | |
Summer Hopkins, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 463646 State Road 200 Ste 7, Yulee, FL 32097 Phone: 443-603-8496 | |
Dr. Bruce Steven Glickman, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 464073 Sr 200, Suite 4, Yulee, FL 32097 Phone: 904-491-1345 Fax: 904-491-1346 | |
Eric Stepnowski, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 463392 State Road 200, Yulee, FL 32097 Phone: 904-491-1345 |