Underwood, Edgar S

Underwood, Edgar S is an individual health care provider with primary practice located at 619 19Th Street South , Birmingham AL 35233. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Underwood, Edgar S can be contacted via phone (205) 934-4011.

Contact Information

Primary practice address
619 19Th Street South Birmingham AL 35233
Phone: (205) 934-4011
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 00008292 Alabama

Profile Details

NPI number 1528063716
LBN Legal business name Underwood, Edgar S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2005
Last updated Dec 23rd, 2011 - about 13 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 1528063716 NPPES
Alabama Other 051536232 BLUE CROSS
Alabama Other 051536233 BLUE CROSS
Alabama MEDICAID 06479807 BLUE CROSS
Alabama MEDICAID 009938902 BLUE CROSS
Alabama Other 051536231 BLUE CROSS

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