National Provider Identifier Database

ALABAMA PROVIDENCE HEALTHCARE SERVICES
Specialist

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.


Contact Information

ALABAMA PROVIDENCE HEALTHCARE SERVICES
6701 AIRPORT BLVD
SUITE A-T01
MOBILE, AL36608-6705
Phone: 251-633-1890
Fax:
Website:
Specialty Taxonomy Code
* Specialist 174400000X

* Indicates primary specialty

NPI Profile & details for ALABAMA PROVIDENCE HEALTHCARE SERVICES

NPI Number 1518321538
Legal business name
LBN
ALABAMA PROVIDENCE HEALTHCARE SERVICES
Authorized official TODD KENNEDY - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 04/06/2016
Last updated 04/06/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers
  • AL Medicaid: 156183

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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