Undesser, Eric Karl
Undesser, Eric Karl is an individual health care provider with primary practice located at 1500 E Woodrow Wilson Ave , Jackson MS 39216-5116. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Clinical Neurophysiology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Undesser, Eric Karl can be contacted via phone (601) 364-1285.Contact Information
Primary practice address
1500 E Woodrow Wilson Ave
Jackson MS 39216-5116
Phone: (601) 364-1285
Fax: (601) 364-1257
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | G8472 | Texas |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 11945 | Mississippi |
| Allopathic & Osteopathic Physicians / Clinical Neurophysiology | 2084N0600X | 11945 | Mississippi |
| Allopathic & Osteopathic Physicians / Clinical Neurophysiology | 2084N0600X | G8472 | Texas |
Profile Details
| NPI number | 1124051321 |
|---|---|
| LBN Legal business name | Undesser, Eric Karl |
| Credentials | MD, PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 9th, 2006 |
| Last updated | Apr 7th, 2014 - about 10 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 | 1124051321 | NPPES |
| Mississippi | MEDICAID | 09880325 |
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