Fleenor-Ford, Anita J

Fleenor-Ford, Anita J is an individual health care provider with primary practice located at 1903 Broadway , Paducah KY 42001-7105. She recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as her primary health care specialty. Fleenor-Ford, Anita J can be contacted via phone (270) 444-9889.

Contact Information

Primary practice address
1903 Broadway Paducah KY 42001-7105
Phone: (270) 444-9889
Fax: (270) 444-9291
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 34325 Kentucky

Profile Details

NPI number 1740284348
LBN Legal business name Fleenor-Ford, Anita J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2005
Last updated Aug 9th, 2019 - about 7 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 1740284348 NPPES
Illinois MEDICAID 0360929991
Illinois Other 34325
Illinois MEDICAID 64343254
Illinois Other 000000282527

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