Lindbloom, Anne Davidson Furtah
Lindbloom, Anne Davidson Furtah is an individual health care provider with primary practice located at 2988 Shallowford Rd , Marietta GA 30066-3033. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Lindbloom, Anne Davidson Furtah can be contacted via phone (866) 825-3227.Contact Information
Primary practice address
2988 Shallowford Rd
Marietta GA 30066-3033
Phone: (866) 825-3227
Fax: (678) 279-4921
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN167745 | Georgia |
Profile Details
| NPI number | 1578533295 |
|---|---|
| LBN Legal business name | Lindbloom, Anne Davidson Furtah |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 25th, 2006 |
| Last updated | Mar 22nd, 2010 - about 14 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 | 1578533295 | NPPES |
| Georgia | MEDICAID | 475948632B | |
| Georgia | MEDICAID | 475948632A | |
| Georgia | Other | P00391495 |
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