DR. JORDAN EDWARD SWISHER DO NPI 1366936056

NPI Information

NPI: 1366936056
Provider Name: DR. JORDAN EDWARD SWISHER, DO
Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Individual

PECOS Registration: Yes

Address:
22201 MOROSS RD STE 50
DETROIT, MI
ZIP 48236
Phone: (313) 343-7774
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DR. Jordan Edward Swisher, DO is a student in an organized health care education training program in Detroit, MI. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. DR. Jordan Edward Swisher, DO NPI is 1366936056. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

22201 MOROSS RD STE 50
DETROIT, MI
ZIP 48236-166
Phone: (313) 343-7774
Fax: (313) 343-8747

The NPI 1366936056 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/18/2018 and was last updated on 6/18/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207R00000X	Internal Medicine		5101024176	MICHIGAN	No
2	390200000X	Student in an Organized Health Care Education/Training Program		5101024176	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	5101024176	OTHER	MICHIGAN	MICHIGAN LIMITED EDUCATIONAL LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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