Ford, Andria Lee

Ford, Andria Lee is an individual health care provider with primary practice located at 4455 Duncan Ave , Saint Louis MO 63110-1111. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Ford, Andria Lee can be contacted via phone (314) 362-1408.

Contact Information

Primary practice address
4455 Duncan Ave Saint Louis MO 63110-1111
Phone: (314) 362-1408
Fax: (314) 362-4566
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 2005014678 Missouri

Profile Details

NPI number 1316097835
LBN Legal business name Ford, Andria Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2007
Last updated May 9th, 2024 - about last year

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 1316097835 NPPES
Missouri MEDICAID 204912406

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