| Susan A Jordan, REGISTERED DIETITION | |
|
1010 South, 7650 East, Crow Agency, MT 59022-0022 | |
| (406) 638-3553 | |
| (406) 638-3553 |
| Full Name | Susan A Jordan |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 1010 South, Crow Agency, Montana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073613709 | NPI | - | NPPES |
| 2210068 | Medicaid | MT | |
| DT06018 | Other | TX | TEXAS STATE BOARD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | DT06018 (Texas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Susan A Jordan, REGISTERED DIETITION Po Box 108, Hardin, MT 59034-0108 Ph: (406) 638-3553 | Susan A Jordan, REGISTERED DIETITION 1010 South, 7650 East, Crow Agency, MT 59022-0022 Ph: (406) 638-3553 |
Maria Kofas, Dietitian Medicare: Medicare Enrolled Practice Location: South 7650 East 1010, Crow Agency, MT 59022 Phone: 406-638-3442 | |
Mrs. Linda Smith, Dietitian Medicare: Medicare Enrolled Practice Location: 10110 South 7650 East, Crow Agency, MT 59022 Phone: 406-638-3553 |