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
Fax: (205) 975-2380
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952454613 NPPES
Other 515-37420 BCBS OF ALABAMA

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