Goncalves, Edison
Goncalves, Edison is an sole proprietor health care provider with primary practice located at 3525 Independence Dr , Birmingham AL 35209-5709. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Goncalves, Edison can be contacted via phone (205) 971-2450.Contact Information
Primary practice address
3525 Independence Dr
Birmingham AL 35209-5709
Phone: (205) 971-2450
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | 17079 | Alabama |
Profile Details
| NPI number | 1457309593 |
|---|---|
| LBN Legal business name | Goncalves, Edison |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 4th, 2006 |
| Last updated | Sep 22nd, 2020 - about 4 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 | 1457309593 | NPPES |
| Alabama | MEDICAID | 529801810 |
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