MEDICARE: JORDAN CHIROPRACTIC LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	08002750A	IN

General Provider Information

NPI Number	:	1306247101
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JORDAN CHIROPRACTIC LLC

Provider Business Mailing Address
First Line	:	3417 GRANT LINE RD # 316
Second Line	:	GRANT LINE CENTER
City	:	NEW ALBANY
State	:	IN
Zip	:	47150-2164
Country	:	US
Telephone Number	:	502-468-0774
Fax Number	:

Provider Business Practice Location Address
First Line	:	3417 GRANT LINE RD # 316
Second Line	:	GRANT LINE CENTER
City	:	NEW ALBANY
State	:	IN
Zip	:	47150-2164
Country	:	US
Telephone Number	:	502-468-0774
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DEREK JORDAN
Credential	:	DC
Telephone Number	:	502-468-0774

Provider Enumeration Date	:	09/11/2014
Last Update Date	:	10/26/2016

Similar Medicare Providers

1497106157 — MICHAEL HOPPER
Practice Location Address:

3417 GRANT LINE RD , SUITE 102
NEW ALBANY, IN
47150-2164

Practice Phone: 812-406-6150
Practice Fax:

1164952453 — RHODA GROTON MCKINNIS
Practice Location Address:

738 ALBANY AVE
BROOKLYN, NY
11203-2164

Practice Phone: 347-385-3962
Practice Fax:

1356348825 — DR. JAMES LARIMER GARDNER JR. M.D.
Practice Location Address:

804 N JEFFERSON ST
NEW CASTLE, PA
16101-2164

Practice Phone: 724-652-3616
Practice Fax: 724-652-3879

1396724050 — DR. JESUS RENE GARCIA MD
Practice Location Address:

613 RUE DE ONETTA
NEW IBERIA, LA
70563-2164

Practice Phone: 337-367-6776
Practice Fax: 337-367-7330

1205887072 — JAMES L. GARDNER, M.D., P.C.
Practice Location Address:

804 N JEFFERSON ST
NEW CASTLE, PA
16101-2164

Practice Phone: 724-652-3616
Practice Fax: 724-652-3879

1104275247 — DT HOME CARE
Practice Location Address:

804 N JEFFERSON ST
NEW CASTLE, PA
16101-2164

Practice Phone: 724-382-8876
Practice Fax:

Directions to “JORDAN CHIROPRACTIC LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.