Ederer, Michael P

Ederer, Michael P is an individual health care provider with primary practice located at 1001 College Blvd W Ste H , Niceville FL 32578-1049. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Ederer, Michael P can be contacted via phone (850) 279-4417.

Contact Information

Primary practice address
1001 College Blvd W Ste H Niceville FL 32578-1049
Phone: (850) 279-4417
Fax: (850) 279-4212
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X OS9533 Florida
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X PM 126, DO 136 Alabama

Profile Details

NPI number 1588760268
LBN Legal business name Ederer, Michael P
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2006
Last updated Jul 27th, 2017 - about 7 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1588760268 NPPES
Alabama Other 511-23910 BLUE CROSS
Alabama Other P00271270 BLUE CROSS
Alabama Other PO1328054 BLUE CROSS
Alabama Other 16148 BLUE CROSS
Alabama MEDICAID 273858900 BLUE CROSS
Alabama Other 511-61498 BLUE CROSS

Popular Providers