Norris, Jeffrey Todd

Norris, Jeffrey Todd is an individual health care provider with primary practice located at 4300 W Main St Ste 405 , Dothan AL 36305-1086. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Norris, Jeffrey Todd can be contacted via phone (334) 944-7073.

Contact Information

Primary practice address
4300 W Main St Ste 405 Dothan AL 36305-1086
Phone: (334) 944-7073
Fax: (334) 793-5346
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA326 Alabama

Profile Details

NPI number 1902801517
LBN Legal business name Norris, Jeffrey Todd
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2005
Last updated Mar 4th, 2021 - about 5 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 1902801517 NPPES
Alabama MEDICAID 051552529
Alabama Other 51512732

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