Fazendin, Edward Andrew

Fazendin, Edward Andrew is an individual health care provider with primary practice located at 3686 Grandview Pkwy Ste 400 , Birmingham AL 35243-3404. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Fazendin, Edward Andrew can be contacted via phone (205) 595-8985.

Contact Information

Primary practice address
3686 Grandview Pkwy Ste 400 Birmingham AL 35243-3404
Phone: (205) 595-8985
Fax: (205) 595-8987
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MT204318 Pennsylvania
Allopathic & Osteopathic Physicians / Surgery 208600000X 38369 Alabama

Profile Details

NPI number 1487092391
LBN Legal business name Fazendin, Edward Andrew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2013
Last updated Jan 4th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487092391 NPPES
Alabama MEDICAID 256202

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