Fordham, Pamela N

Fordham, Pamela N is an individual health care provider with primary practice located at 619 19Th Street South , Birmingham AL 35233. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Fordham, Pamela N can be contacted via phone (205) 934-6600.

Contact Information

Primary practice address
619 19Th Street South Birmingham AL 35233
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 1021348 Alabama

Profile Details

NPI number 1699719898
LBN Legal business name Fordham, Pamela N
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Sep 12th, 2011 - about 13 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 1699719898 NPPES
Alabama MEDICAID 891017303
Alabama Other 051530809
Alabama MEDICAID 891010120
Alabama MEDICAID 891010100
Alabama MEDICAID 891010425
Alabama Other 051530810
Alabama Other 051541988
Alabama MEDICAID 891010110
Alabama Other 051530808
Alabama Other 051530811

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