National Provider Identifier Database

JAMES G FORDYCE, MD – NPI #1215905765
Clinical & Laboratory Immunology

An allergy and immunology physician who specializes in clinical and laboratory immunology disease management.


Contact Information

JAMES G FORDYCE, MD
19855 OUTER DR
STE 204
DEARBORN, MI48124-2022
Phone: 313-565-3565
Fax: 313-565-7723
Website:
Specialty Taxonomy Code
* Clinical & Laboratory Immunology 207KI0005X

* Indicates primary specialty

NPI Profile & details for JAMES G FORDYCE

NPI Number 1215905765
Credentials MD
Entity Individual
Enumeration date 03/10/2006
Last updated 06/22/2015 - About 11 years ago
Sole proprietor1 No
Identifiers
  • MI License #: 4301034472
  • MI Medicaid: 1290003
  • MI Other: 0H26340 BLUE CROSS
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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