Provider Demographics
NPI:1871724625
Name:JORDAN, AMANDA (DC)
Entity type:Individual
Prefix:DR
First Name:AMANDA
Middle Name:
Last Name:JORDAN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9543 GOEHRING RD
Mailing Address - Street 2:
Mailing Address - City:CRANBERRY TWP
Mailing Address - State:PA
Mailing Address - Zip Code:16066-3715
Mailing Address - Country:US
Mailing Address - Phone:724-741-6080
Mailing Address - Fax:724-741-6084
Practice Address - Street 1:9543 GOEHRING RD.
Practice Address - Street 2:
Practice Address - City:CRANBERRY TWP
Practice Address - State:PA
Practice Address - Zip Code:16066
Practice Address - Country:US
Practice Address - Phone:724-741-6080
Practice Address - Fax:724-741-6084
Is Sole Proprietor?:No
Enumeration Date:2009-07-28
Last Update Date:2023-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC010148111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor