Christensen, Edwin Dale
Christensen, Edwin Dale is an individual health care provider with primary practice located at 1325 Mcfarland Blvd Ste 204 , Northport AL 35476-3275. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Christensen, Edwin Dale can be contacted via phone (205) 462-3334.Contact Information
Primary practice address
1325 Mcfarland Blvd Ste 204
Northport AL 35476-3275
Phone: (205) 462-3334
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 24343 | Alabama |
Profile Details
NPI number | 1689635245 |
---|---|
LBN Legal business name | Christensen, Edwin Dale |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 31st, 2006 |
Last updated | Apr 28th, 2020 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1689635245 | NPPES |
Alabama | MEDICAID | 009939446 | |
Alabama | Other | 051536986 | |
Alabama | Other | P00373792 | |
Alabama | Other | 511-11742 |
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