Adams, Juanakee Raedell

Adams, Juanakee Raedell is an sole proprietor health care provider with primary practice located at 1712 5Th Ave N , Birmingham AL 35203-2023. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Adams, Juanakee Raedell can be contacted via phone (205) 323-4608.

Contact Information

Primary practice address
1712 5Th Ave N Birmingham AL 35203-2023
Phone: (205) 323-4608
Fax: (205) 252-0203
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X S-444-TA-297 Alabama

Profile Details

NPI number 1356322218
LBN Legal business name Adams, Juanakee Raedell
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 8th, 2005
Last updated Mar 12th, 2013 - about 13 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 1356322218 NPPES
Alabama MEDICAID 000810517

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