Fordham, Zackary

Fordham, Zackary is an individual health care provider with primary practice located at 4500 13Th St , Gulfport MS 39502. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Fordham, Zackary can be contacted via phone (601) 672-3173.

Contact Information

Primary practice address
4500 13Th St Gulfport MS 39502
Phone: (601) 672-3173
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 28369 Alabama
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 21091 Mississippi

Profile Details

NPI number 1265589089
LBN Legal business name Fordham, Zackary
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2007
Last updated Sep 13th, 2010 - about 16 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.

Request for update

Popular Providers