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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689635245 NPPES
Alabama MEDICAID 009939446
Alabama Other 051536986
Alabama Other P00373792
Alabama Other 511-11742

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