Vanderford, Joel Leonard
Vanderford, Joel Leonard is an individual health care provider with primary practice located at 2100 Stantonsburg Rd Pcmh Graduate Medical Education, Greenville NC 27834-2818. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, which is considered as his primary health care specialty. Vanderford, Joel Leonard can be contacted via phone (252) 847-4268.Contact Information
Primary practice address
2100 Stantonsburg Rd Pcmh Graduate Medical Education
Greenville NC 27834-2818
Phone: (252) 847-4268
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | 54641 | Arizona |
Profile Details
| NPI number | 1770787400 |
|---|---|
| LBN Legal business name | Vanderford, Joel Leonard |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2007 |
| Last updated | Sep 15th, 2023 - about last year |
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 | 1770787400 | NPPES |
| Arizona | MEDICAID | 300867 |
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