Fordham, Lynn A
Fordham, Lynn A is an individual health care provider with primary practice located at 101 Manning Dr , Chapel Hill NC 27599-0001. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Radiology. Allopathic & Osteopathic Physicians / Pediatric Radiology is her primary health care specialty. Fordham, Lynn A can be contacted via phone (919) 966-4131.Contact Information
Primary practice address
101 Manning Dr
Chapel Hill NC 27599-0001
Phone: (919) 966-4131
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 36704 | North Carolina |
| Allopathic & Osteopathic Physicians / Pediatric Radiology | 2085P0229X | 36704 | North Carolina |
Profile Details
| NPI number | 1730280462 |
|---|---|
| LBN Legal business name | Fordham, Lynn A |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 26th, 2006 |
| Last updated | Feb 9th, 2021 - about 3 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 | 1730280462 | NPPES |
| North Carolina | MEDICAID | 8933068 | |
| North Carolina | Other | 300092926 |
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