NPI 1235097452

Charles Timothy Jordan, CDRS

Practitioner Vehicle Modifications Contractor Oak Hill, WV

Practice location

Address: 14 Sutton Pl, Oak Hill, WV 25901-2059
Phone: (304) 640-2818

Registered specialties

Vehicle Modifications Contractor Primary

Other Service Providers Taxonomy 171WV0202X

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Registry record

NPI: 1235097452
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Jan 2026
Record last updated: 10 Apr 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.