Individual provider · Type 1 NPI
Charles Timothy Jordan, CDRS
Vehicle Modifications Contractor · Oak Hill, WV
NPI number
1235097452
Active
Practice location
14 Sutton Pl
Oak Hill, WV 25901-2059
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Vehicle Modifications Contractor Primary | 171WV0202X | None listed |
Vehicle Modifications Contractor: A contractor who makes modifications to private vehicles to accommodate a health condition.
Another provider at this address
About NPI 1235097452
Charles Timothy Jordan, CDRS's National Provider Identifier is 1235097452, issued on Jan 15, 2026. The primary taxonomy on file is Vehicle Modifications Contractor (171WV0202X), and the practice location is in Oak Hill, WV. The record was last updated on Apr 10, 2026.