Birkedal, Christian L

Birkedal, Christian L is an individual health care provider with primary practice located at 305 Memorial Medical Pkwy Suite 205, Daytona Beach FL 32117-5168. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Birkedal, Christian L can be contacted via phone (386) 231-3530.

Contact Information

Primary practice address
305 Memorial Medical Pkwy Suite 205 Daytona Beach FL 32117-5168
Phone: (386) 231-3530
Fax: (386) 231-3534
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X ME84422 Florida
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X ME84422 Florida

Profile Details

NPI number 1043205404
LBN Legal business name Birkedal, Christian L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2005
Last updated Aug 10th, 2012 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043205404 NPPES
Florida MEDICAID 263857600

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