Ennis, Anola G
Ennis, Anola G is an individual health care provider with primary practice located at 930 20Th St S Suite 101, Birmingham AL 35205-2610. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Ennis, Anola G can be contacted via phone (205) 934-5471.Contact Information
Primary practice address
930 20Th St S Suite 101
Birmingham AL 35205-2610
Phone: (205) 934-5471
Fax: (205) 975-2380
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 1-041425 | Alabama |
Profile Details
| NPI number | 1952454613 |
|---|---|
| LBN Legal business name | Ennis, Anola G |
| Credentials | CPNP-PC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 18th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952454613 | NPPES |
| Other | 515-37420 | BCBS OF ALABAMA |
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