Pearson, Julene Ranicea

Pearson, Julene Ranicea is an individual health care provider with primary practice located at 1308 Tuscaloosa Ave Sw , Birmingham AL 35211-1948. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Pearson, Julene Ranicea can be contacted via phone (205) 715-6121.

Contact Information

Primary practice address
1308 Tuscaloosa Ave Sw Birmingham AL 35211-1948
Phone: (205) 715-6121
Fax: (205) 715-6183
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 00017145 Alabama

Profile Details

NPI number 1366414708
LBN Legal business name Pearson, Julene Ranicea
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2006
Last updated Jun 15th, 2010 - about 15 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 1366414708 NPPES
Alabama Other G592 MEDICARE GROUP NUMBER
Alabama Other 051032285 MEDICARE GROUP NUMBER
Alabama MEDICAID 303790344 MEDICARE GROUP NUMBER
Alabama Other 1396770913 MEDICARE GROUP NUMBER

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