Fordham, Brandon
Fordham, Brandon is an individual health care provider with primary practice located at 1102 W 32Nd St , Joplin MO 64804. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Fordham, Brandon can be contacted via phone (417) 347-1078.Contact Information
Primary practice address
1102 W 32Nd St
Joplin MO 64804
Phone: (417) 347-1078
Fax: (417) 347-1079
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 2018011919 | Missouri |
Profile Details
NPI number | 1497173280 |
---|---|
LBN Legal business name | Fordham, Brandon |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 31st, 2014 |
Last updated | Jul 30th, 2018 - about 7 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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