Keith, Shandra Ladrea

Keith, Shandra Ladrea is an sole proprietor health care provider with primary practice located at 2305 Arlington Ave S , Birmingham AL 35205. She recently has only one registered license in Dental Providers / Endodontics, which is considered as her primary health care specialty. Keith, Shandra Ladrea can be contacted via phone (205) 930-0705.

Contact Information

Primary practice address
2305 Arlington Ave S Birmingham AL 35205
Fax: (205) 930-0809
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X 4522 Alabama

Profile Details

NPI number 1265532733
LBN Legal business name Keith, Shandra Ladrea
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 25th, 2006
Last updated Jul 9th, 2007 - about 17 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 1265532733 NPPES
Alabama MEDICAID 000092680

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