Fordyce, James G
Fordyce, James G is an individual health care provider with primary practice located at 19855 Outer Dr Ste 204, Dearborn MI 48124-2022. He recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical & Laboratory Immunology, which is considered as his primary health care specialty. Fordyce, James G can be contacted via phone (313) 565-3565.Contact Information
Primary practice address
19855 Outer Dr Ste 204
Dearborn MI 48124-2022
Phone: (313) 565-3565
Fax: (313) 565-7723
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Clinical & Laboratory Immunology | 207KI0005X | 4301034472 | Michigan |
Profile Details
NPI number | 1215905765 |
---|---|
LBN Legal business name | Fordyce, James G |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 10th, 2006 |
Last updated | Jun 22nd, 2015 - about 9 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 | 1215905765 | NPPES |
Michigan | Other | 0H26340 | BLUE CROSS |
Michigan | MEDICAID | 1290003 | BLUE CROSS |
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