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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 11 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 1124051321 NPPES
Mississippi MEDICAID 09880325

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