Mr Jordan Wan, MT, TAI NA is a
Massage Therapist based in Roseville, Ohio. Mr Jordan Wan is licensed to practice in California (license number 71847798) and his current practice location is
1141 Smith Lane Ste #3, Ste #3, Roseville, Ohio. He can be reached at his office (for appointments etc.) via phone at
(916) 783-3003.
NPI number for Mr Jordan Wan is 1326695495 and his current mailing address is 1141 Smith Lane Ste #3, Ste #3, Roseville, Ohio. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1326695495.
Healthcare Provider's Profile
| Full Name | Mr Jordan Wan |
|---|
| Gender | Male |
|---|
| Speciality | Massage Therapist |
|---|
| Location | 1141 Smith Lane Ste #3, Roseville, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1326695495
- Provider Enumeration Date: 08/22/2019
- Last Update Date: 08/22/2019
Medical Identifiers
Medical identifiers for Mr Jordan Wan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1326695495 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225700000X | Massage Therapist | 71847798 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Jordan Wan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Jordan Wan, MT, TAI NA
1141 Smith Lane Ste #3, Ste #3,
Roseville, OH 95661-4123
Ph: (916) 783-3003 | Mr Jordan Wan, MT, TAI NA
1141 Smith Lane Ste #3, Ste #3,
Roseville, OH 95661-4123
Ph: (916) 783-3003 |
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