Jordan Patrice Louque, is a
Rehabilitation Practitioner based in San Luis Obispo, California. Jordan Patrice Louque is licensed to practice in * (Not Available) (license number ) and her current practice location is
1255 Kendall Rd, San Luis Obispo, California. She can be reached at her office (for appointments etc.) via phone at
(805) 781-3535.
NPI number for Jordan Patrice Louque is 1982271664 and her current mailing address is 1255 Kendall Rd, San Luis Obispo, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1982271664.
Healthcare Provider's Profile
| Full Name | Jordan Patrice Louque |
|---|
| Gender | Female |
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| Speciality | Rehabilitation Practitioner |
|---|
| Location | 1255 Kendall Rd, San Luis Obispo, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1982271664
- Provider Enumeration Date: 06/09/2021
- Last Update Date: 04/03/2025
Medical Identifiers
Medical identifiers for Jordan Patrice Louque such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1982271664 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 172V00000X | Community Health Worker | (* (Not Available)) | Secondary |
| 225400000X | Rehabilitation Practitioner | (* (Not Available)) | 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. Jordan Patrice Louque 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 |
|---|
Jordan Patrice Louque,
1255 Kendall Rd,
San Luis Obispo, CA 93401-8750
Ph: () - | Jordan Patrice Louque,
1255 Kendall Rd,
San Luis Obispo, CA 93401-8750
Ph: (805) 781-3535 |
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