Vanderford, Paula A
Vanderford, Paula A is an individual health care provider with primary practice located at 1465 S Grand Blvd , Saint Louis MO 63104-1003. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is her primary health care specialty. Vanderford, Paula A can be contacted via phone (314) 577-5638.Contact Information
Primary practice address
1465 S Grand Blvd
Saint Louis MO 63104-1003
Phone: (314) 577-5638
Fax: (314) 268-4081
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD28634 | Oregon |
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 2080H0002X | 2022038337 | Missouri |
Profile Details
NPI number | 1053304006 |
---|---|
LBN Legal business name | Vanderford, Paula A |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 24th, 2005 |
Last updated | Nov 11th, 2022 - about 2 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 | 1053304006 | NPPES |
Oregon | Other | R144108 | MEDICARE PTAN |
Oregon | Other | 028523 | MEDICARE PTAN |
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