Fordham, Sara Lee

Fordham, Sara Lee is an individual health care provider with primary practice located at 403 E 1St St , Dixon IL 61021-3116. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Fordham, Sara Lee can be contacted via phone (815) 288-5531.

Contact Information

Primary practice address
403 E 1St St Dixon IL 61021-3116
Phone: (815) 288-5531
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209019936 Illinois

Profile Details

NPI number 1871141465
LBN Legal business name Fordham, Sara Lee
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2019
Last updated Aug 28th, 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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