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
Phone: (205) 930-0705
Fax: (205) 930-0809
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1265532733 | NPPES |
Alabama | MEDICAID | 000092680 |
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