Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charles Timothy Jordan, CDRS

Individual provider Vehicle Modifications Contractor · NPI 1235097452

Charles Timothy Jordan, CDRS is a Vehicle Modifications Contractor in Oak Hill, West Virginia. Licensed in West Virginia. Registered with an NPI since 2026.

Licensed in
WV
In the registry since
2026

Practice location Address checks out

14 Sutton Pl
Oak Hill, WV 25901-2059
Phone: (304) 640-2818
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vehicle Modifications Contractor (primary) Taxonomy 171WV0202X (WV)

Record details

NPI number1235097452
Entity typeIndividual (Type 1)
GenderMale
Credentials CDRS
Sole proprietorNo
NPI enumeratedJanuary 15, 2026
Last updated in NPPESApril 10, 2026
Certification dateApril 10, 2026

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