Ellerbusch, Michael Todd
Ellerbusch, Michael Todd is an individual health care provider with primary practice located at 4517 Southlake Pkwy Suite 202, Birmingham AL 35244-3280. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuromuscular Medicine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Ellerbusch, Michael Todd can be contacted via phone (205) 985-4111.Contact Information
Primary practice address
4517 Southlake Pkwy Suite 202
Birmingham AL 35244-3280
Phone: (205) 985-4111
Fax: (205) 985-4326
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Neuromuscular Medicine | 2081N0008X | MD.21044 | Alabama |
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | MD.21044 | Alabama |
Profile Details
NPI number | 1437107984 |
---|---|
LBN Legal business name | Ellerbusch, Michael Todd |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 5th, 2006 |
Last updated | May 9th, 2023 - about 2 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 | 1437107984 | NPPES |
Alabama | MEDICAID | 009933849 | |
Alabama | Other | 56685 |
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