Amundson, Eric W
Amundson, Eric W is an individual health care provider with primary practice located at 2470 Flowood Drive , Flowood MS 39232. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Amundson, Eric W can be contacted via phone (877) 554-4257.Contact Information
Primary practice address
2470 Flowood Drive
Flowood MS 39232
Phone: (877) 554-4257
Fax: (601) 983-2845
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | 18963 | Mississippi |
Profile Details
| NPI number | 1437102597 |
|---|---|
| LBN Legal business name | Amundson, Eric W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 18th, 2006 |
| Last updated | May 23rd, 2013 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437102597 | NPPES |
| Mississippi | MEDICAID | 00804004 | |
| Mississippi | Other | P00235338 |
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